Active NPI
Brandi Nicole Gwin, M.S.W.
- Clinical Social Worker
- Dubois, PA
National Provider Identifier
1447467154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW020265
- Practice address
- 320 Daly Street
Suite 101
Dubois, PA 15801-1894 - Phone
- (814) 591-7595
- NPI assigned
- May 16, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | SW130024 | PA | |
| Clinical Social Worker | 1041C0700X | CW020265 | PA | Primary |
Addresses
Primary practice location
320 Daly Street
Suite 101
Dubois, PA 15801-1894
Mailing address
345 Mountain Run Rd
Du Bois, PA 15801-7033
Phone (814) 591-7595
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102865065003 | Medicaid | PA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | BRANDIGWIN@COMCAST.NET | 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
| License | State | Type | Specialty |
|---|---|---|---|
| SW130024 | PA | MD | Social Worker |
| CW020265 | PA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621036800000",
"number": "1447467154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "345 MOUNTAIN RUN RD",
"city": "DU BOIS",
"state": "PA",
"postal_code": "158017033",
"telephone_number": "814-591-7595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 DALY STREET",
"address_2": "SUITE 101",
"city": "DUBOIS",
"state": "PA",
"postal_code": "158011894",
"telephone_number": "814-591-7595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GWIN",
"first_name": "BRANDI",
"middle_name": "NICOLE",
"credential": "M.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-16",
"last_updated": "2021-05-15",
"certification_date": "2021-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PA",
"license": "SW130024",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW020265",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102865065003",
"state": "PA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "BRANDIGWIN@COMCAST.NET",
"affiliation": "N",
"endpointDescription": "OFFICE EMAIL",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "320 DALY STREET",
"address_2": "SUITE 101",
"city": "DUBOIS",
"state": "PA",
"country_code": "US",
"postal_code": "158011894",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Dubois, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.