Provider Demographics
NPI:1194846956
Name:SIMPSON HAMAMOTO, BRENDA SUE (MSW, LCSW)
Entity type:Individual
Prefix:
First Name:BRENDA
Middle Name:SUE
Last Name:SIMPSON HAMAMOTO
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 N ARROWHEAD AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:SAN BERNARDINO
Mailing Address - State:CA
Mailing Address - Zip Code:92401-1152
Mailing Address - Country:US
Mailing Address - Phone:909-501-9452
Mailing Address - Fax:
Practice Address - Street 1:600 N ARROWHEAD AVE STE 200
Practice Address - Street 2:
Practice Address - City:SAN BERNARDINO
Practice Address - State:CA
Practice Address - Zip Code:92401-1152
Practice Address - Country:US
Practice Address - Phone:909-501-9452
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-02
Last Update Date:2020-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS276031041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical