Tamara Bransburg

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW68703 Issued in CA

Practice address

2711 Alcatraz Ave Ste 5
Berkeley, CA 94705-2726

Phone

(510) 214-3518

Fax

(510) 296-7778

NPI assigned

Jun 11, 2011

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1307750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653955200000",
    "number": "1790070340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2711 ALCATRAZ AVE STE 5",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052726",
            "telephone_number": "510-214-3518",
            "fax_number": "510-296-7778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711 ALCATRAZ AVE STE 5",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052726",
            "telephone_number": "510-214-3518",
            "fax_number": "510-296-7778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANSBURG",
        "first_name": "TAMARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-11",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "ASW34887",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW68703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daryl Berkson Brand, MFT
• Jason Daniel Brand, LCSW
• Susan Fern Brand, PSYCHOLOGIST
• Adrian Deane Brannen-Jurgenson
• Christina Marie Branom
• Kenneth Braslow, M.D.
• Maria Pilar Bratko, MFT
• Rachel Braun, MA, LMFT
• Holly Brehmer
• Lisa Brennan, RN

• Clinical Social Worker in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; 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.