Active NPI
Brandon Shindo
- Clinical Social Worker
- Sherman Oaks, CA
National Provider Identifier
1609201201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW75899
- Practice address
- 15300 Ventura Blvd Ste 509
Sherman Oaks, CA 91403-5812 - Phone
- (805) 285-2089
- NPI assigned
- Sep 13, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW75899 | CA | Primary |
Addresses
Primary practice location
15300 Ventura Blvd Ste 509
Sherman Oaks, CA 91403-5812
Mailing address
15300 Ventura Blvd Ste 509
Sherman Oaks, CA 91403-5812
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective May 12, 2020 through May 12, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 75899 | CA | MD | Mental Health Counselor |
| LCSW75899 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604880000000",
"number": "1609201201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15300 VENTURA BLVD STE 509",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914035812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15300 VENTURA BLVD STE 509",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914035812",
"telephone_number": "805-285-2089"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHINDO",
"first_name": "BRANDON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-09-13",
"last_updated": "2020-11-09",
"certification_date": "2020-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW75899",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sherman Oaks, CA
- Sherman Oaks Pharmacy
- Sherman Oaks Surgery Center Inc. a Medical Corporation
- Sherman Oaks Urgent Care Clinic, Inc
- Ali Sheybani, M.D.
- Annie Shin
- Thomas Merrill Shiovitz, MD
- Shirin Peykar, Licensed Marriage and Family Therapist & Associates Inc
- Selin Shirvanian
- Alia Shirzad, CRNA
- Shiva Nazemi Chiropractic Corporation, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.