Individual provider Active NPI

Rebecca Brabec-Vandehei, MSW, LCSW

  • Clinical Social Worker
  • Huntington Beach, CA
National Provider Identifier
1437890670
Registry record updated Apr 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
19864 Issued in CA
Practice address
1309 Alabama St
Huntington Beach, CA 92648-3518
Phone
(949) 306-3289
NPI assigned
Apr 3, 2022
Last updated
Apr 3, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 19864 CA Primary

Addresses

Primary practice location

1309 Alabama St
Huntington Beach, CA 92648-3518

Mailing address

1309 Alabama St
Huntington Beach, CA 92648-3518
Phone (949) 306-3289

Other identifiers 1

IdentifierTypeStateIssuer
NAOtherCANA

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL 9493063289 Direct
Other URL 9493063289 Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
19864CAMDProfessional Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1648944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648944000000",
    "number": "1437890670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 ALABAMA ST",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926483518",
            "telephone_number": "949-306-3289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 ALABAMA ST",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926483518",
            "telephone_number": "949-306-3289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRABEC-VANDEHEI",
        "first_name": "REBECCA",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-03",
        "last_updated": "2022-04-03",
        "certification_date": "2022-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "19864",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NA",
            "identifier": "NA",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "9493063289",
            "affiliation": "N",
            "endpointDescription": "cell",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1309 Alabama St",
            "city": "Huntington Beach",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926483518",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "9493063289",
            "affiliation": "N",
            "endpointDescription": "Cell",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Cell phone",
            "address_1": "1309 Alabama St",
            "city": "Huntington Beach",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926483518",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.