Joni Clausing Branham, LCSW
Individual provider Active NPI Clinical Social Worker · Fallbrook, CA
NPI 1801022744 · NPPES record last updated Jun 5, 2009
Key facts
- NPI
- 1801022744
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 25123 (CA)
- Practice address
- 3657 Genista PL
Fallbrook, CA 92028-8143 - Phone
- (760) 715-6984
- NPI assigned
- Jun 5, 2009
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
645 E Elder St
Suite B
Fallbrook, CA 92028-3084
Phone (760) 715-6984
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140609001331 | CA | Practitioner - Clinical Social Worker | 2860616042 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25123 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joni C Branham Licensed Clinical Social Worker Inc | Current |
Accepting new patients |
Locations
645 E Elder St
Ste B
Fallbrook, CA 92028
Phone (760) 715-6984
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 25123 | CA | Yes |
Addresses
Primary practice location
3657 Genista PL
Fallbrook, CA 92028-8143
Mailing address
3657 Genista PL
Fallbrook, CA 92028-8143
Phone (760) 715-6984
Other providers in Fallbrook, CA
- Amanda Marie Carrigan
- Leonel Ceja
- Cassandra Ann Chatman
- Hyun Jin Cho
- Megan Marie Clapp
- Timothy J. Coen
- Colby Dental Corporation
- Community Health Systems Inc
- Community Health Systems, Inc.
- Community Health Systems, Inc.
All providers in Fallbrook, CA · Clinical Social Worker in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 5, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.