Provider Demographics
NPI:1558121434
Name:GENSLER, BRANDEE LYNN (LCSW)
Entity Type:Individual
Prefix:MS
First Name:BRANDEE
Middle Name:LYNN
Last Name:GENSLER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 DAVEY GLEN RD APT 403
Mailing Address - Street 2:
Mailing Address - City:BELMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94002-2102
Mailing Address - Country:US
Mailing Address - Phone:650-483-4616
Mailing Address - Fax:
Practice Address - Street 1:301 OLD SAN FRANCISCO RD FL 2
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94086-6386
Practice Address - Country:US
Practice Address - Phone:408-730-4251
Practice Address - Fax:408-524-5863
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-19
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS214801041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical