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NPI Code Detail

MEDICARE: VICKI A. BRAS ACSW

MEDICARE: VICKI A. BRAS ACSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerLCSW136571CA

General Provider Information

NPI Number : 1396474730
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICKI A. BRAS ACSW
Provider Business Mailing Address
First Line : PO BOX 1000
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93302-1000
Country : US
Telephone Number : 760-549-9647
Fax Number :
Provider Business Practice Location Address
First Line : 2731 NUGGET AVE
Second Line :
City : LAKE ISABELLA
State : CA
Zip : 93240-9456
Country : US
Telephone Number : 760-379-3412
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2022
Last Update Date : 05/05/2026

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