Individual provider Active NPI

Brandis Childs, LCSW

  • Clinical Social Worker
  • Sicklerville, NJ
National Provider Identifier
1710276779
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05523200 Issued in NJ
Practice address
18 Olympia LN
Sicklerville, NJ 08081-4011
Phone
(609) 510-3555
NPI assigned
Mar 30, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Q1-0001268 DE
Clinical Social Worker 1041C0700X 44SC05523200 NJ Primary
School Social Worker 1041S0200X 787066 NJ

Addresses

Primary practice location

18 Olympia LN
Sicklerville, NJ 08081-4011

Mailing address

18 Olympia LN
Sicklerville, NJ 08081-4011
Phone (609) 510-3555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, DE2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180123002546 NJ Practitioner - Clinical Social Worker 7517226327 Reassigns benefits to 1 organization
I20260211000433 DE Practitioner - Clinical Social Worker 7517226327 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
Q1-0001268DEMDClinical Social Worker
787066NJMDSchool Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group of New Jersey PC Mental Health CurrentSince Jan 9, 2026 Accepting new patients
Grow Healthcare Group PA Mental Health CurrentSince Jan 9, 2026 Accepting new patients
Project H.O.P.E., Inc. Past Accepting new patients

Locations

200 Continental Dr
Ste 401
Newark, DE 19713
Phone (302) 238-6200

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

221 River St
Ste 9
Hoboken, NJ 07030
Phone (201) 439-8902

Organizations & group practices 3

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": "1301443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769472000000",
    "number": "1710276779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 OLYMPIA LN",
            "city": "SICKLERVILLE",
            "state": "NJ",
            "postal_code": "080814011",
            "telephone_number": "609-510-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 OLYMPIA LN",
            "city": "SICKLERVILLE",
            "state": "NJ",
            "postal_code": "080814011",
            "telephone_number": "609-510-3555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILDS",
        "first_name": "BRANDIS",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-30",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q1-0001268",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05523200",
            "primary": true
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NJ",
            "license": "787066",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sicklerville, NJ

Sources for this page

Verify at the official NPI Registry.