Barbara Jean Brandhorst, LICSW, SUDP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW60815976 Issued in WA

Practice address

1157 3Rd Ave Ste 100
Longview, WA 98632-6007

Phone

(360) 261-9169

NPI assigned

Apr 10, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668729600000",
    "number": "1669695672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1157 3RD AVE STE 100",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986326007",
            "telephone_number": "360-261-9169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1157 3RD AVE STE 100",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986326007",
            "telephone_number": "360-261-9169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDHORST",
        "first_name": "BARBARA",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "LICSW, SUDP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LW60815976",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP00001675",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60815976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brad Strong PLLC
• Kyle Aaron Bradley, PHARMD
• Wendy Bradshaw
• Cory Bragg, BA, AAC
• Julie Branch
• Baljinder Brar, M.D.
• Simrandeep Kaur Brar, M.D.
• Amie-Jo Brassfield, CDPT
• Elizabeth Jolie Brassfield
• William Joseph Braune, RN

• Clinical Social Worker in Longview, WA
• Providers in Longview, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2022; 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.