Individual provider Active NPI

Rachel E Brandwene, LCSW

  • Clinical Social Worker
  • San Francisco, CA
National Provider Identifier
1851771547
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
81781 Issued in CA
Practice address
1990 41St Ave
San Francisco, CA 94116-1101
Phone
(925) 596-1765
NPI assigned
Jun 8, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 81781 CA Primary
Counselor 101Y00000X 66001 CA

Addresses

Primary practice location

1990 41St Ave
San Francisco, CA 94116-1101

Mailing address

1990 41St Ave
San Francisco, CA 94116-1101
Phone (925) 596-1765

Other practice location 1

1500 Franklin St
San Francisco, CA 94109-4523
Phone (925) 596-1765

Other identifiers 1

IdentifierTypeStateIssuer
66001OtherCABEHAVIORAL BOARD OF SCIENCE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
66001CAMDCounselor
81781CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1433721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1851771547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1990 41ST AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941161101",
            "telephone_number": "925-596-1765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1990 41ST AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941161101",
            "telephone_number": "925-596-1765"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 Franklin St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941094523",
            "country_code": "US",
            "telephone_number": "925-596-1765",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRANDWENE",
        "first_name": "RACHEL",
        "middle_name": "E",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-08",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "81781",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": "66001",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIORAL BOARD OF SCIENCE",
            "identifier": "66001",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.