Brenda L Blum, ACWS

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

320 W Oak Ave
Visalia, CA 93291-4929

Phone

(559) 625-2995

NPI assigned

Nov 5, 2007

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

Practice roles

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.

• Central Valley Recovery Services, Inc..

  • Substance Abuse Rehabilitation Facility
  • Visalia, CA
  • NPI 1043346067
  NPD (past)
• Centraol Valley Recovery Services, Inc.

  dba Mothering Heights

  • Substance Abuse Rehabilitation Facility
  • Visalia, CA
  • NPI 1346620374
  NPD (past)

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

{
    "created_epoch": "1194220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582502400000",
    "number": "1821278078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1734 S CONYER ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932774631",
            "telephone_number": "559-308-1745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 W OAK AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932914929",
            "telephone_number": "559-625-2995"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 N K St",
            "address_purpose": "LOCATION",
            "city": "Tulare",
            "state": "CA",
            "postal_code": "932744005",
            "country_code": "US",
            "telephone_number": "559-687-0929",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLUM",
        "first_name": "BRENDA",
        "middle_name": "L",
        "credential": "ACWS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-05",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "30277",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "28012",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vianca Jeanette Blas, RADT
• Ronald H. Blimling, FNP/PA
• Joshua A Blomgren, PHARMD
• Blue Oak Academy
• Laurie Susan Bluestein
• Douglas N Blume, MD
• Michael T. Bodensteiner, D.D.S.
• Renee Maxine Boehme, PSYD
• Robyn Jenna Boertje, FNP
• Daniel James Boken, M.D.

• Clinical Social Worker in Visalia, CA
• Providers in Visalia, 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 Feb 24, 2020; 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.