MRS. BRANDY NICOLE EDMISTON (NPI# 1700483872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700483872 |
| Entity Type | Individual |
| Full Name | MRS. BRANDY NICOLE EDMISTON |
| Credential | LCSW |
| Practice Address |
2489 Diplomat Pkwy E Cape Coral FL 33909-5422 |
| Mailing Address |
1800 Nw 39th Ave Cape Coral FL 33993-3505 |
| Practice Telephone | 2396521800 |
| Practice Fax Number | 2396521931 |
| Mailing Telephone | 2396914885 |
| Enumeration Date | 2020-10-02 |
| Last Update Date | 2020-10-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
SW10290 | FL | Behavioral Health & Social Service Providers |
| Street Address |
2489 DIPLOMAT PKWY E |
| City | CAPE CORAL |
| State | FL |
| Zip Code | 33909-5422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093714966 | Aris Nicholas Jacob | Internal Medicine | 2489 Diplomat Pkwy E, Cape Coral, FL 33909-5422 | 2005-07-21 |
| 1457958100 | Cynthia Rose Graves | Pharmacist | 2489 Diplomat Pkwy E, Cape Coral, FL 33909-5422 | 2020-10-06 |
| 1376140434 | Kimberly Gallagher | Social Worker | 2489 Diplomat Pkwy E, Cape Coral, FL 33909-5422 | 2020-10-02 |
| 1174120265 | Shawanda Rene Wilder | Social Worker | 2489 Diplomat Pkwy E, Cape Coral, FL 33909-5422 | 2020-10-02 |
| 1912514449 | Jessica Watts | Pharmacist | 2489 Diplomat Pkwy E, Cape Coral, FL 33909-5422 | 2020-09-29 |
| 1396352043 | Deborah Marie Stetts | Physical Therapist | 2489 Diplomat Pkwy E, Cape Coral, FL 33909-5422 | 2020-09-28 |
| 1578179628 | Germaine Guy | Dietitian, Registered | 2489 Diplomat Pkwy E, Cape Coral, FL 33909-5422 | 2020-09-23 |
| 1841806940 | Amanda Gehrke | Psychologist | 2489 Diplomat Pkwy E, Cape Coral, FL 33909-5422 | 2020-09-23 |
| 1841805355 | Rosmery Valdivia | Psychologist | 2489 Diplomat Pkwy E, Cape Coral, FL 33909-5422 | 2020-09-11 |
| 1114531662 | Victoria Amparo Rodriguez | Psychologist | 2489 Diplomat Pkwy E, Cape Coral, FL 33909-5422 | 2020-09-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417433970 | Vicky Doreen Duhaime | Nurse Practitioner | 636 Delprado Blvd South, Cape Coral, FL 33909 | 2018-07-17 |
| 1639562416 | Kimberly Caggiano | Physical Therapy Assistant | 2113 Ne 4th Ave, Cape Coral, FL 33909 | 2015-03-18 |
| 1669861027 | Jerkita Mcclorin | Case Manager/Care Coordinator | 409 Ne 11th Place, Cape Coral, FL 33909 | 2015-01-22 |
| 1033527361 | Jhony R Espinoza | Dentist | 1751 Ne Pine Island Rd Ste 130, Cape Coral, FL 33909 | 2014-07-30 |
| 1568738581 | Arcadia Nursing Home Inc | Home Health | 441 N. Del Prado Blvd., Suite #2, Cape Coral, FL 33909 | 2012-03-23 |
| 1689731762 | Lanie Soriano Benzon | Physical Therapist | 523 E Cape Coral Pkwy, Cape Coral, FL 33909 | 2007-01-02 |
| 1790840676 | One Price Optical | Optometrist | 325 North Del Prado, Cape Coral, FL 33909 | 2006-12-22 |
| 1801969282 | Jerry Todd Mcclaran | Dentist | 2688 Sunset Lake Drive, Cape Coral, FL 33909 | 2006-11-15 |
| 1891805651 | Edward Joseph Hope | Physical Therapy Assistant | 601 Del Prado Blvd N, #3, Cape Coral, FL 33909 | 2006-08-30 |
| 1972577906 | Misty Dawn Green | Chiropractor | 1224 Alabar Ln, Cape Coral, FL 33909 | 2006-02-15 |
| Find all providers in zip 33909 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922624345 | Andrea Gonzalez | Social Worker | 902 Sw 8th Ct, Cape Coral, FL 33991-4409 | 2020-06-22 |
| 1790247161 | Tiffany Burbidge Harnett | Social Worker | 3006 Sw 1st Pl, Cape Coral, FL 33914-4503 | 2019-04-03 |
| 1619448040 | Carol Marie Levitre | Social Worker | 4825 Sw 24th Pl, Cape Coral, FL 33914-6730 | 2018-12-11 |
| 1588155568 | Advanced Counseling Care and Change Inc | Social Worker | 19 Del Prado Blvd N Ste 101, Cape Coral, FL 33909-2758 | 2018-05-24 |
| 1124543962 | Yalily Perez Smith | Social Worker | 303 Ne 3rd Ave Ste 7&8, Cape Coral, FL 33909-2538 | 2017-08-12 |
| 1851766471 | Malissa Maki | Social Worker | 3723a Delprado Blvd, Cape Coral, FL 33904 | 2015-12-08 |
| 1811360845 | Janice Stepnoski | Social Worker | 20 Se 17th Ave, Cape Coral, FL 33990-1339 | 2015-11-13 |
| 1487026019 | Christina Kolb | Social Worker | 144 S.e. 21st Terrace, Cape Coral, FL 33990 | 2015-10-22 |
| 1104296425 | Jose Garcia-mayor | Social Worker | 1513 Sw 13th Ter, Cape Coral, FL 33991-2935 | 2015-09-29 |
| 1194103606 | Tricia Betters-black | Social Worker | 1514 Ne 11th Ter, Cape Coral, FL 33909-1547 | 2015-05-16 |
| Find all providers in CAPE CORAL | ||||
| City | CAPE CORAL |
| Zip Code | 33909 |
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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.