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NICHOLE AMBER LEE BRANDON LCSW
NPI 1962743971
Social Worker - Clinical in Shasta Lake, CA

Active since March 15, 2013PECOS EnrolledAccepts Medicare Assignment
853 CENTRAL AVE, SHASTA LAKE, CA 96019(530) 410-4259 Get Directions Write a Review

NPPES record last updated: December 28, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nichole Amber Lee Brandon Lcsw NPPES

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

NICHOLE AMBER LEE BRANDON LCSW (NPI 1962743971) is an individual clinical provider in Shasta Lake, California, licensed in California (95066) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS, maintains a secondary practice location in Redding, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1962743971
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameNICHOLE AMBER LEE BRANDONCredential: LCSW
Location Address853 CENTRAL AVEShasta Lake, CA 96019-9529
Mailing Address853 Central AveShasta Lake, CA 96019-9529 · (530) 410-4259
Phone(530) 410-4259
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMarch 15, 2013
Last NPPES UpdateDecember 28, 2022
NPPES CertifiedDecember 28, 2022
✔ NPI 1962743971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · 95066
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.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
853 CENTRAL AVE, Shasta Lake, CA 96019
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Secondary Practice Location 1

Location 12640 Breslauer WayRedding, CA 96001-4246 · Phone (530) 225-5200

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

Nichole Amber Lee Brandon Lcsw 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 ID7618379231
PECOS Enrollment IDI20210706000779
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 96019 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.

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 Nichole Brandon's NPI number?

The NPI number for Nichole Brandon is 1962743971. It was assigned to this individual provider in the NPPES registry on March 15, 2013.

Where is Nichole Brandon located?

Nichole Brandon practices at 853 Central Ave, Shasta Lake, CA 96019. The listed phone number is (530) 410-4259.

What is Nichole Brandon's specialty?

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

Is Nichole Brandon enrolled in Medicare?

Yes. Nichole Brandon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Nichole Brandon was last updated on December 28, 2022. 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.