Organization Active NPI

Deborah Brewer Inc Licensed Clinical Social Worker

  • Adolescent and Children Mental Health Clinic/Center
  • Menlo Park, CA
National Provider Identifier
1790318293
Registry record updated Feb 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
DEBORAH BREWER INC LICENSED CLINICAL SOCIAL WORKER
Practice address
932 Santa Cruz Ave Ste C
Menlo Park, CA 94025-4633
Phone
(650) 223-1952
NPI assigned
Feb 13, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2024

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

Authorized official

Name
Ms. Deborah Anne Brewer, LCSWNPI 1518365477
Title
Ceo
Phone
(650) 223-1952

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

932 Santa Cruz Ave Ste C
Menlo Park, CA 94025-4633

Mailing address

1700 Webster St
Palo Alto, CA 94301-3853
Phone (650) 223-1952

National Provider Directory

National Provider Directory

Locations

932 Santa Cruz Ave
Ste C
Menlo Park, CA 94025
Phone (650) 223-1952

1220 University Dr
Ste 101
Menlo Park, CA 94025
Phone (650) 327-1921

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1581552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708041600000",
    "number": "1790318293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 WEBSTER ST",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943013853",
            "telephone_number": "650-223-1952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "932 SANTA CRUZ AVE STE C",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940254633",
            "telephone_number": "650-223-1952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBORAH BREWER INC LICENSED CLINICAL SOCIAL WORKER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-13",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A",
        "authorized_official_last_name": "BREWER",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "650-223-1952",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menlo Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.