MR. ROBERT WADE BRANDIMORE (NPI# 1598394660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598394660 |
| Entity Type | Individual |
| Full Name | MR. ROBERT WADE BRANDIMORE |
| Credential | LBSW |
| Practice Address |
291 W Casa Blanca Rd. Bldg. 7 Sacaton AZ 85147 |
| Mailing Address |
Po Box 38 Sacaton AZ 85147-0001 |
| Practice Telephone | 5205623323 |
| Practice Fax Number | 6025281374 |
| Mailing Telephone | 6025287135 |
| Mailing Fax Number | 6025281374 |
| Enumeration Date | 2020-04-02 |
| Last Update Date | 2020-04-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | LBSW-0959 | AZ | Behavioral Health & Social Service Providers |
| Street Address |
291 W CASA BLANCA RD. BLDG. 7 |
| City | SACATON |
| State | AZ |
| Zip Code | 85147 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518460641 | Chylae M Dexter | Social Worker | 291 W Casa Blanca Rd., Sacaton, AZ 85147-0056 | 2018-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104452507 | Jeremy James Pumphrey | Counselor | 438 W Seed Farm Rd, Sacaton, AZ 85147 | 2020-03-17 |
| 1215563804 | Leo Oswaldo Merino | Counselor | 291 W. Casa Blanca Rd. Bldg. # 7, Sacaton, AZ 85147 | 2020-03-16 |
| 1588166896 | Stephanie Lashawn Brown | Social Worker | 483 West Seed Farm Rd., Sacaton, AZ 85147 | 2018-03-02 |
| 1255602447 | Joyce Mildred Villalobos | Counselor | Gila River Health Care Corp, 483 W Seed Farm Rd, Sacaton, AZ 85147 | 2012-01-19 |
| 1417237074 | Gila River Health Care | Community/Behavioral Health | 291 W Casa Blanca Rd, Sacaton, AZ 85147 | 2011-08-26 |
| 1750598322 | Kari Beth Harris | Social Worker | 198 South Skill Center Road, Sacaton, AZ 85147 | 2007-05-16 |
| 1740378694 | Vincent Anthony Berkley | Internal Medicine | 198 S. Skill Center Road, Sacaton, AZ 85147 | 2006-10-10 |
| 1568448801 | Wesley Neil Yamada | Podiatrist | 483 W Seed Farm Road, Sacaton, AZ 85147 | 2005-12-19 |
| 1376532515 | Frances Antone | Physician Assistant | 483 W Seed Farm Rd., Sacaton, AZ 85147 | 2005-10-20 |
| 1538167051 | Xuong Wilkinson | Family Medicine | 483 West Seed Farm Road, Sacaton, AZ 85147 | 2005-07-08 |
| Find all providers in zip 85147 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992346662 | Kimberly Marie Padilla | Social Worker | 483 W Seed Farm Rd Bldg 4, Sacaton, AZ 85147-5000 | 2019-10-03 |
| 1912409228 | Laura Lee Jones | Social Worker | 438 W. Seed Farm Road, Sacaton, AZ 85283 | 2018-03-02 |
| 1588166896 | Stephanie Lashawn Brown | Social Worker | 483 West Seed Farm Rd., Sacaton, AZ 85147 | 2018-03-02 |
| 1962026906 | Candace Wilson | Social Worker | 483 W Seed Farm Rd, Sacaton, AZ 85147-5000 | 2020-06-05 |
| 1700406808 | Clara Terrazas | Social Worker | 483 W Seed Farm Rd, Sacaton, AZ 85147-5000 | 2020-04-20 |
| 1972144335 | Calista Heath-martinez | Social Worker | 483 W Seed Farm Rd, Sacaton, AZ 85147-5000 | 2019-10-07 |
| 1831747104 | Chloe Selina | Social Worker | 483 W Seed Farm Rd, Sacaton, AZ 85147-5000 | 2019-08-29 |
| 1225684152 | Stephanie Seigla | Social Worker | 483 W Seed Farm Rd, Sacaton, AZ 85147-5000 | 2019-08-15 |
| 1588130918 | John L Duffy | Social Worker | 483 W Seed Farm Road, Sacaton, AZ 85147 | 2018-10-24 |
| 1821579780 | Ina Blue | Social Worker | 483 W. Seed Farm Road, Sacaton, AZ 85147 | 2018-08-28 |
| Find all providers in SACATON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.