Stefanie Sophia Brandstetter, LCSW, PSYD

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW020836 Issued in PA

Practice address

1625 South St
Philadelphia, PA 19146-1541

Phone

(215) 377-3993

Fax

(215) 377-3993

NPI assigned

Sep 12, 2023

Last updated

Sep 12, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Sophia Brandstetter Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Growth Thru Change LLC

  • Adult Mental Health Clinic/Center
  • Philadelphia, PA
  • NPI 1922814698
  NPD Authorized official
• Marlton Therapy Group

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Marlton, NJ
  • NPI 1790515674
  NPD

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

{
    "created_epoch": "1694476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1629855895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 SOUTH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191461541",
            "telephone_number": "215-377-3993",
            "fax_number": "215-377-3993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 SOUTH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191461541",
            "telephone_number": "215-377-3993",
            "fax_number": "215-377-3993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDSTETTER",
        "first_name": "STEFANIE",
        "middle_name": "SOPHIA",
        "credential": "LCSW, PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-12",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW020836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SOPHIA",
            "last_name": "BRANDSTETTER",
            "credential": "PSYD, LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Erik Brandsma, M.D.
• Paul Carl Brandson, RN
• Joshua Daniel Brandstadter, M.D., PHD
• Kaitlin Moffett Brandstadter, MD
• Rachel Brandstadter, M.D.
• Kathryn Ashley Brandt, D.O.
• Kimberly Brandt, CRNA
• M Collette Brandt
• Phebe Rebecca Brandt, CRNP
• Kelly Brandwene, MS

• Clinical Social Worker in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.