Breanna Ashely Alderson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

09928942 Issued in CO

Practice address

559 Vincent St BLDG 725
Peterson AFB, CO 80914-1541

Phone

(719) 556-8943

NPI assigned

Apr 5, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1457092231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7272 ELECTRONIC DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809223288",
            "telephone_number": "916-670-0855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "559 VINCENT ST BLDG 725",
            "city": "PETERSON AFB",
            "state": "CO",
            "postal_code": "809141541",
            "telephone_number": "719-556-8943"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4470 W Sunset Blvd Ste 107",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900276309",
            "country_code": "US",
            "telephone_number": "323-676-7425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALDERSON",
        "first_name": "BREANNA",
        "middle_name": "ASHELY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-05",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "09928942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 21St Medgrp-Peterson (DoD PETERSON SATL ePhcy)
• 21St Medgrp-Peterson
• 21St Medical Group (Peterson Pharmacy)
• Beth D Achterhoff, DPT
• Brian Agee, MD MPH
• Bryan Thomas Alvarez, MD, MPH
• Debra Lynn Arabia, NP
• Raymond Alfred Bailey, PT
• Keith Andrew Baker, M.D.
• Mark Ballesteros, PHARM.D.

• Clinical Social Worker in Peterson AFB, CO
• Providers in Peterson AFB, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; 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.