Individual provider Active NPI

Deborah Anne Brewer, LCSW

  • Clinical Social Worker
  • Palo Alto, CA
National Provider Identifier
1518365477
Registry record updated Feb 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW78645 Issued in CA
Practice address
407 Sherman Ave Ste C
Palo Alto, CA 94306-1872
Phone
(650) 461-9026
NPI assigned
Dec 9, 2014
Reactivated
Jun 25, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW78645 CA Primary
Mental Health Counselor 101YM0800X LCSW78645 CA

Addresses

Primary practice location

407 Sherman Ave Ste C
Palo Alto, CA 94306-1872

Mailing address

1700 Webster St
Palo Alto, CA 94301-3853
Phone (650) 223-1952

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 6, 2024 through Mar 6, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LCSW78645CAMDMental Health Counselor
78645CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Deborah Brewer Inc Licensed Clinical Social Worker CurrentSince Feb 1, 2020 Accepting new patients
Palo Alto Therapy a Licensed Clinical Social Worker Corporation Clinical PastSince Feb 18, 2024 Accepting new patients

Locations

1220 University Dr
Ste 101
Menlo Park, CA 94025
Phone (650) 327-1921

932 Santa Cruz Ave
Ste C
Menlo Park, CA 94025
Phone (650) 223-1952

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1418083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708041600000",
    "number": "1518365477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 WEBSTER ST",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943013853",
            "telephone_number": "650-223-1952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 SHERMAN AVE STE C",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943061872",
            "telephone_number": "650-461-9026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREWER",
        "first_name": "DEBORAH",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-09",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "deactivation_date": "2020-03-31",
        "reactivation_date": "2020-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW78645",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LCSW78645",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

Verify at the official NPI Registry.