Provider Demographics
NPI:1114700309
Name:SEEKINS, BRANDI (LMSW)
Entity Type:Individual
Prefix:
First Name:BRANDI
Middle Name:
Last Name:SEEKINS
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:BRANDI
Other - Middle Name:
Other - Last Name:ACKERMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:190 CENTRAL PARK SQ STE 123
Mailing Address - Street 2:
Mailing Address - City:LOS ALAMOS
Mailing Address - State:NM
Mailing Address - Zip Code:87544-4007
Mailing Address - Country:US
Mailing Address - Phone:505-490-6410
Mailing Address - Fax:
Practice Address - Street 1:190 CENTRAL PARK SQ STE 123
Practice Address - Street 2:
Practice Address - City:LOS ALAMOS
Practice Address - State:NM
Practice Address - Zip Code:87544-4007
Practice Address - Country:US
Practice Address - Phone:505-490-6410
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-14
Last Update Date:2023-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMSWB-2022-0291104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker