Individual provider Active NPI

Jeremy Lee Brownstein, L.C.S.W.

  • Clinical Social Worker
  • Fresno, CA
National Provider Identifier
1497182489
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
86276 Issued in CA
Practice address
1141 W Shaw Ave Ste 203
Fresno, CA 93711-3713
Phone
(559) 428-3176
Fax
(559) 475-8052
NPI assigned
Oct 4, 2013
Last updated
Aug 15, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 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 86276 CA Primary

Addresses

Primary practice location

1141 W Shaw Ave Ste 203
Fresno, CA 93711-3713

Mailing address

1141 W Shaw Ave Ste 203
Fresno, CA 93711-3713
Phone (559) 428-3176

Other practice location 1

1616 W Shaw Ave Ste B2
Fresno, CA 93711-3513
Phone (559) 428-3176

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190315000356 CA Practitioner - Clinical Social Worker 0941540629 Practice locations: Clovis, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3114 Willow Ave
Suite 102
Clovis, CA 93612-4750
Phone (559) 428-3176

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
86276CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Jeremy L Brownstein, Licensed Clinical Social Worker, Inc. Clinical CurrentSince Apr 16, 2023 Accepting new patients

Locations

1141 W Shaw Ave
Ste 203
Fresno, CA 93711
Phone (559) 428-3176

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1380844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1497182489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1141 W SHAW AVE STE 203",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937113713",
            "telephone_number": "559-428-3176",
            "fax_number": "559-475-8052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 W SHAW AVE STE 203",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937113713",
            "telephone_number": "559-428-3176",
            "fax_number": "559-475-8052"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1616 W Shaw Ave Ste B2",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937113513",
            "country_code": "US",
            "telephone_number": "559-428-3176",
            "fax_number": "559-475-8052",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWNSTEIN",
        "first_name": "JEREMY",
        "middle_name": "LEE",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-10-04",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "86276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.