ANDREW ROBERT BRAZZALE MSW, LICSW
NPI 1225527831
Social Worker in Woodinville, WA

Q: What is Andrew Brazzale's NPI number?

The NPI number for Andrew Brazzale is 1225527831. It was assigned to this individual provider in the NPPES registry on May 9, 2018.

Q: What is Andrew Brazzale's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Andrew Brazzale was last updated on July 27, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 09, 2018PECOS EnrolledAccepts Medicare Assignment

17330 135TH AVE NE STE 2B, WOODINVILLE, WA 98072(773) 934-5551(844) 837-1339 Get Directions Write a Review

NPPES record last updated: July 27, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 27, 2023, Apr 3, 2020, Dec 17, 2019 and 1 more (4 updates tracked since 2018).

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About Andrew Robert Brazzale Msw, Licsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDREW ROBERT BRAZZALE MSW, LICSW (NPI 1225527831) is an individual social worker in Woodinville, Washington, licensed in Washington (LW61056500) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1225527831

Entity TypeIndividualMale

Primary Taxonomy104100000X

Provider Legal NameANDREW ROBERT BRAZZALECredential: MSW, LICSW

Location Address17330 135TH AVE NE STE 2BWoodinville, WA 98072-8522

Mailing Address17330 135th Ave Ne Ste 2bWoodinville, WA 98072-8522 · (773) 934-5551 · Fax (844) 837-1339

Phone(773) 934-5551

Fax(844) 837-1339

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateMay 9, 2018

Last NPPES UpdateJuly 27, 20234 updates tracked since enumeration

NPPES CertifiedJuly 27, 2023

✔ NPI 1225527831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

Licenses✔ Licensed in WA · LW61056500✔ Licensed in IL · 149024969

Definition

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.

17330 135TH AVE NE STE 2B, Woodinville, WA 98072

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Andrew Robert Brazzale Msw, Licsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9436574787

PECOS Enrollment IDI20200803002158

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MAKAYLA JONES LSWAIC

Social Worker (Clinical)