Individual ProviderNicole BrandesSocial WorkerBehavioral Health & Social Service ProvidersPractice Address232 E Gish Rd, San Jose, CA 95112-4706(408) 876-4284PECOS EnrollmentBased on the most recent information from CMS, provider Nicole Brandes does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1003699166Provider TypeIndividualFull NameBrandes, NicoleGenderFemaleSole ProprietorNoEnumeration Date8/14/2023Last Updated8/20/2025Contact InformationPractice LocationPractice Address232 E Gish Rd, San Jose, CA 95112-4706Phone(408) 876-4284FaxUnlisted FaxMailing LocationMailing Address232 E Gish Rd, San Jose, CA 95112-4706Phone(408) 876-4284FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode104100000XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseASW133218CaliforniaCode225400000XDescriptionRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseUnlisted IssuerCaliforniaCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer