Active NPI
Brandesis Lynn Stephen, LISW
- Clinical Social Worker
- Altoona, IA
National Provider Identifier
1932455466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 007948
- Practice address
- 3160 8TH St SW Ste G
Altoona, IA 50009-1023 - Phone
- (515) 635-1814
- NPI assigned
- Aug 2, 2012
- Last updated
- Nov 20, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 007948 | IA | Primary |
Addresses
Primary practice location
3160 8TH St SW Ste G
Altoona, IA 50009-1023
Mailing address
1418 Richmond Ave
Des Moines, IA 50316-1327
Phone (515) 778-5460
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Nov 6, 2024 through Nov 6, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007948 | IA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732060800000",
"number": "1932455466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1418 RICHMOND AVE",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503161327",
"telephone_number": "515-778-5460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3160 8TH ST SW STE G",
"city": "ALTOONA",
"state": "IA",
"postal_code": "500091023",
"telephone_number": "515-635-1814"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPHEN",
"first_name": "BRANDESIS",
"middle_name": "LYNN",
"credential": "LISW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-02",
"last_updated": "2024-11-20",
"certification_date": "2024-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IA",
"license": "007948",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Altoona, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.