Brave Transitions

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

BRAVE TRANSITIONS

Practice address

2975 W Executive Pkwy Ste 277
Lehi, UT 84043-9642

Phone

(310) 774-1889

NPI assigned

Jun 10, 2024

Organization subpart

No

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

Authorized official

Name

Kendall Manwill, LCSWNPI 1063170777

Title

Owner

Phone

(310) 774-1889

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kendall Manwill, LCSW

  • Clinical Social Worker
  • Lehi, UT
  • NPI 1063170777
  NPD Authorized official

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

{
    "created_epoch": "1717977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717977600000",
    "number": "1538901665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 E 140 S",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840623048",
            "telephone_number": "310-774-1889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2975 W EXECUTIVE PKWY STE 277",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840439642",
            "telephone_number": "310-774-1889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAVE TRANSITIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-10",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A",
        "authorized_official_last_name": "MANWILL",
        "authorized_official_first_name": "KENDALL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-774-1889",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kim Lee Boyd, PSYD
• Boyer Medical Solutions
• Braces Braces Braces of Stonehaven- Lehi LLC
• Karlee Brand-Laing
• Darrin Stuart Brandt, LCSW
• Kaden Bretzing
• Caitlin Brewer, NP-C
• Jason Brill
• Colby Dion Brink, DC
• Justin Brinkerhoff

• Clinical Social Worker in Lehi, UT
• Providers in Lehi, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; 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.