Active NPI
Sage Brandum, LSW
- Social Worker
- Hillsboro, OH
National Provider Identifier
1609334887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 108 Erin CT
Hillsboro, OH 45133-8591 - Phone
- (937) 393-9946
- NPI assigned
- Mar 7, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
108 Erin CT
Hillsboro, OH 45133-8591
Mailing address
108 Erin CT
Hillsboro, OH 45133-8591
Phone (937) 393-9946
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643673600000",
"number": "1609334887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 ERIN CT",
"city": "HILLSBORO",
"state": "OH",
"postal_code": "451338591",
"telephone_number": "937-393-9946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 ERIN CT",
"city": "HILLSBORO",
"state": "OH",
"postal_code": "451338591",
"telephone_number": "937-393-9946"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANDUM",
"first_name": "SAGE",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-07",
"last_updated": "2022-02-01",
"certification_date": "2022-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hillsboro, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.