Brandy Pidermann, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

5265 SW 95TH Ave
Cooper City, FL 33328-4144

Phone

(954) 710-7619

NPI assigned

Sep 21, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Changing Tides Therapy

  • Clinical Social Worker
  • Fort Lauderdale, FL
  • NPI 1841017225
  NPD Authorized official

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

{
    "created_epoch": "1505952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1760991798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 S FLAMINGO RD STE 106",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333301902",
            "telephone_number": "954-710-7619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5265 SW 95TH AVE",
            "city": "COOPER CITY",
            "state": "FL",
            "postal_code": "333284144",
            "telephone_number": "954-710-7619"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4301 S Flamingo Rd Ste 106",
            "address_purpose": "LOCATION",
            "city": "Davie",
            "state": "FL",
            "postal_code": "333301902",
            "country_code": "US",
            "telephone_number": "954-710-7619",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19410 SW 58th Pl",
            "address_purpose": "LOCATION",
            "city": "Fort Lauderdale",
            "state": "FL",
            "postal_code": "333321301",
            "country_code": "US",
            "telephone_number": "954-710-7619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIDERMANN",
        "first_name": "BRANDY",
        "name_prefix": "Dr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-21",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "SW14695",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Perfect Choice Care, Inc.
• Cecilia Pernas, ARNP, FNP-C
• Tina Louise Perry, OTR
• Hung Pham, PHARMD, MSBI
• Pharmostar International
• Pieces of Inspiration Life Care Services
• Alejandro Piedra
• Sondra Pierce
• Adeline Pierre, APRN
• Jill Tourville Pinder, MSW, LCSW, CAP

• Clinical Social Worker in Cooper City, FL
• Providers in Cooper City, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.