Healthcare Provider Details

I. General information

NPI: 1518365477
Provider Name (Legal Business Name): DEBORAH ANNE BREWER LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/09/2014
Last Update Date: 02/16/2024
Certification Date: 02/16/2024
Deactivation Date: 03/31/2020
Reactivation Date: 06/25/2020

III. Provider practice location address

407 SHERMAN AVE STE C
PALO ALTO CA
94306-1872
US

IV. Provider business mailing address

1700 WEBSTER ST
PALO ALTO CA
94301-3853
US

V. Phone/Fax

Practice location:
  • Phone: 650-461-9026
  • Fax:
Mailing address:
  • Phone: 650-223-1952
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW78645
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLCSW78645
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: