Provider Demographics
NPI:1225459753
Name:GADSON, BRANDY ELISE (MSW)
Entity Type:Individual
Prefix:
First Name:BRANDY
Middle Name:ELISE
Last Name:GADSON
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:BRANDY
Other - Middle Name:ELISE
Other - Last Name:GADSON-TERRELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:2601 BLANDING AVE # C301
Mailing Address - Street 2:
Mailing Address - City:ALAMEDA
Mailing Address - State:CA
Mailing Address - Zip Code:94501-1579
Mailing Address - Country:US
Mailing Address - Phone:510-909-1487
Mailing Address - Fax:
Practice Address - Street 1:2601 BLANDING AVE # C301
Practice Address - Street 2:
Practice Address - City:ALAMEDA
Practice Address - State:CA
Practice Address - Zip Code:94501-1579
Practice Address - Country:US
Practice Address - Phone:510-909-1487
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-12-31
Last Update Date:2013-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAASW#368791041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical