Individual provider Active NPI

Nicholas Brandau, LSW

  • Social Worker
  • Erie, PA
National Provider Identifier
1962143115
Registry record updated Apr 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW139016 Issued in PA
Practice address
100 Barber PL
Erie, PA 16507-1863
Phone
(814) 453-7661
NPI assigned
Apr 3, 2022
Last updated
Apr 3, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW139016 PA Primary

Addresses

Primary practice location

100 Barber PL
Erie, PA 16507-1863

Mailing address

1272 E 38TH St
Erie, PA 16504-3039
Phone (724) 799-1746

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SW139016PAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Gertrude a Barber Center Inc CurrentSince Jul 1, 2004 Accepting new patients
Christine Barr Social Worker CurrentSince Apr 10, 2022 Accepting new patients

Locations

100 Barber Pl
Erie, PA 16507
Phone (814) 453-7661

1621 Sassafras St
Erie, PA 16502
Phone (814) 722-5549

1631 Sassafras St
Erie, PA 16502
Phone (814) 871-4725

4176 W Ridge Rd
Erie, PA 16506
Phone (814) 453-7661

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/barberinstitute/r4/

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1648944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648944000000",
    "number": "1962143115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1272 E 38TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165043039",
            "telephone_number": "724-799-1746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BARBER PL",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165071863",
            "telephone_number": "814-453-7661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDAU",
        "first_name": "NICHOLAS",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-03",
        "last_updated": "2022-04-03",
        "certification_date": "2022-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW139016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2022; 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.