Healthcare Provider Details

I. General information

NPI: 1306007646
Provider Name (Legal Business Name): BRION PHIPPS LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/19/2008
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 EMBARCADERO STE 305
OAKLAND CA
94606-5300
US

IV. Provider business mailing address

2000 EMBARCADERO STE 305
OAKLAND CA
94606-5300
US

V. Phone/Fax

Practice location:
  • Phone: 508-954-0714
  • Fax:
Mailing address:
  • Phone: 508-954-0714
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number28593
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW28593
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: