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BRENT KORNISH
NPI 1578939872
Social Worker - Clinical in Modesto, CA

Active since August 20, 2015PECOS Enrolled
1225 OAKDALE RD, MODESTO, CA 95355(209) 557-6200 Get Directions Write a Review

NPPES record last updated: August 20, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Brent Kornish NPPES

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

BRENT KORNISH (NPI 1578939872) is an individual clinical provider in Modesto, California and active in the NPI registry since August 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578939872
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameBRENT KORNISH
Location Address1225 OAKDALE RDModesto, CA 95355-3357
Mailing Address1225 Oakdale RdModesto, CA 95355-3357 · (209) 557-6200
Phone(209) 557-6200
Sole ProprietorNo
Enumeration DateAugust 20, 2015
✔ NPI 1578939872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
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.
1225 OAKDALE RD, Modesto, CA 95355
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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 (PECOS)

Brent Kornish 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95355 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $58.87 – $176.60
Typical copayment $0.00 (range $14.71 – $44.15)
Most-billed visit code NA
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

NAY LINN
Internal Medicine
1225 OAKDALE RD
MODESTO, CA 95355
Stanislaus County (209) 557-6200
MS. SHAMERIN BOURANG LCSW
Social Worker (Clinical)
1225 OAKDALE RD
MODESTO, CA 95355
Stanislaus County (209) 557-6213
JAMES LUKE BLACKWELL
Social Worker (Clinical)
1225 OAKDALE RD
MODESTO, CA 95355
Stanislaus County (209) 557-6200
REEMA SINGH
Social Worker
1225 OAKDALE RD
MODESTO, CA 95355
Stanislaus County (209) 557-6200
SAMARA A SORY
Social Worker (Clinical)
1225 OAKDALE RD
MODESTO, CA 95355
Stanislaus County (209) 272-5675
MR. EDWARD MCINTOSH LCSW
Social Worker (Clinical)
1225 OAKDALE RD
MODESTO, CA 95355
Stanislaus County (209) 557-6200
ASHLEY RAE VERISSIMO
Specialist/Technologist (Audiology Assistant)
1225 OAKDALE RD
MODESTO, CA 95355
Stanislaus County (209) 557-6200
KRISTI HAYDEN
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1225 OAKDALE RD
MODESTO, CA 95355
Stanislaus County (209) 557-6200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brent Kornish's NPI number?

The NPI number for Brent Kornish is 1578939872. It was assigned to this individual provider in the NPPES registry on August 20, 2015.

Where is Brent Kornish located?

Brent Kornish practices at 1225 Oakdale Rd, Modesto, CA 95355. The listed phone number is (209) 557-6200.

What is Brent Kornish's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Brent Kornish enrolled in Medicare?

Yes. Brent Kornish is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Brent Kornish was last updated on August 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.