Yolande Marie Brizendine, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS 66388 Issued in CA

Practice address

2460 N Ponderosa Dr Ste A110
Camarillo, CA 93010-2468

Phone

(818) 575-6136

NPI assigned

May 19, 2015

Last updated

May 19, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clinicas del Camino Real IncGroup PAC ID 3173434396, 99 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: yolande.brizendine.p1@direct.clinicas.nextgenshare.com

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.

• Clinicas del Camino Real Inc

  dba Clinicas del Camino Real, Inc., Ventura

  • Federally Qualified Health Center (FQHC)
  • Ventura, CA
  • NPI 1679631907
  Medicare reassignment Care Compare group NPD
• Clinicas del Camino Real Inc

  dba Clinicas del Camino Real Inc Santa Paula

  • Federally Qualified Health Center (FQHC)
  • Santa Paula, CA
  • NPI 1023234465
  NPD
• Clinicas del Camino Real Inc

  dba Clinicas del Camino Real Inc Roberto S Juarez

  • Community Health Clinic/Center
  • Oxnard, CA
  • NPI 1235866138
  NPD

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

{
    "created_epoch": "1431993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431993600000",
    "number": "1972982353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 482",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913760482",
            "telephone_number": "818-575-6136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 N PONDEROSA DR STE A110",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930102468",
            "telephone_number": "818-575-6136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIZENDINE",
        "first_name": "YOLANDE",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-19",
        "last_updated": "2015-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 66388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Albert P Bright, M.A,, PH.D.
• Samuel Bright, PHARM.D
• Bristol Hospice - Simi Valley, LLC
• Krystal Rose Brito
• Brittany Hiton LLC
• Katherine Brooks
• Marissa Brooks
• Brittany Broussard
• Matthew Brown, RBT
• Melodie Lynnette Brown

• Clinical Social Worker in Camarillo, CA
• Providers in Camarillo, 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 May 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.