Individual provider Active NPI

Brandi Washington, LCSW

  • Clinical Social Worker
  • Allen, TX
National Provider Identifier
1699366294
Registry record updated Dec 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
65638 Issued in TX
Practice address
400 N Allen Dr Ste 204
Allen, TX 75013-2568
Phone
(972) 233-1010
Fax
(214) 623-6692
NPI assigned
Jan 27, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 65638 TX
Case Manager/Care Coordinator 171M00000X 65638 TX
Clinical Social Worker 1041C0700X 65638 TX Primary

Addresses

Primary practice location

400 N Allen Dr Ste 204
Allen, TX 75013-2568

Mailing address

2113 Harwood Rd Ste 309
Bedford, TX 76021-4703

Other practice location 1

2113 Harwood Rd Ste 309
Bedford, TX 76021-4703
Phone (210) 865-4896

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20230201000783 TX Practitioner - Clinical Social Worker 8820469786 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Clinical CurrentSince Dec 12, 2023 Accepting new patients
Assurasource LTD Clinical CurrentSince Dec 9, 2022 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

400 N Allen Dr
Ste 204
Allen, TX 75013

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1611705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1699366294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2113 HARWOOD RD STE 309",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760214703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N ALLEN DR STE 204",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750132568",
            "telephone_number": "972-233-1010",
            "fax_number": "214-623-6692"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2113 Harwood Rd Ste 309",
            "address_purpose": "LOCATION",
            "city": "Bedford",
            "state": "TX",
            "postal_code": "760214703",
            "country_code": "US",
            "telephone_number": "210-865-4896",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WASHINGTON",
        "first_name": "BRANDI",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-27",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "65638",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "TX",
            "license": "65638",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "65638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

Verify at the official NPI Registry.