BRANDI BLUE LCSW
NPI 1255789574
Social Worker in Nellis Afb, NV

Q: What is Brandi Blue's NPI number?

The NPI number for Brandi Blue is 1255789574. It was assigned to this individual provider in the NPPES registry on May 26, 2016.

Q: What is Brandi Blue'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 Brandi Blue was last updated on August 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 26, 2016PECOS Enrolled

4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191(702) 653-3880 Get Directions Write a Review

NPPES record last updated: August 4, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Jul 24, 2018, Aug 11, 2017 (3 updates tracked since 2017).

On this page

About Brandi Blue Lcsw NPPES

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

BRANDI BLUE LCSW (NPI 1255789574) is an individual social worker in Nellis Afb, Nevada, licensed in Nevada (7946-S) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255789574

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameBRANDI BLUECredential: LCSW

Location Address4700 LAS VEGAS BLVD NNellis Afb, NV 89191-6600

Mailing Address4700 Las Vegas Blvd NNellis Afb, NV 89191-6600 · (702) 653-3880

Phone(702) 653-3880

Sole ProprietorYes

Enumeration DateMay 26, 2016

Last NPPES UpdateAugust 4, 20233 updates tracked since enumeration

NPPES CertifiedAugust 3, 2023

✔ NPI 1255789574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in NV · 7946-S

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.

Also ListedBehavior TechnicianTaxonomy 106S00000X · License RBT-17-37944 (NV)

Also ListedRehabilitation PractitionerTaxonomy 225400000X

4700 LAS VEGAS BLVD N, Nellis Afb, NV 89191

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brandi Blue Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

DR. DEBRA A KOENIGSBERGER MD

Integrative Medicine