Mark Brand, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

16521 Issued in CA

Practice address

314 Conifer PL
Novato, CA 94945-1108

Phone

(415) 897-8400

Fax

(415) 877-1203

NPI assigned

Dec 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354579200000",
    "number": "1962563270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 CONIFER PL",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949451108",
            "telephone_number": "415-897-8400",
            "fax_number": "415-877-1203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 CONIFER PL",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949451108",
            "telephone_number": "415-897-8400",
            "fax_number": "415-877-1203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAND",
        "first_name": "MARK",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2012-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "16521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chris Bossone
• Daniel Jacob Boudagian
• Edmund Bourne, PH.D.
• Breanna Boyer, OTR/L
• Braden Partners LP (Pacific Pulmonary Services)
• Rebecca Ann Brandi, LMFT
• Brett V. Curtis M.D. & Associates, a Professional Corporation (Medical Center of Marin)
• Diana Lee Brigham, D.M.D
• Michael(510)-815-044 Briones IV
• Noah Broffman

• Clinical Social Worker in Novato, CA
• Providers in Novato, 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 Dec 4, 2012; 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.