Individual provider Active NPI

Brenna Nichole Gatimu, LCSW

  • Clinical Social Worker
  • Casper, WY
National Provider Identifier
1003286816
Registry record updated Mar 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-1076 Issued in WY
Practice address
800 Werner CT Ste 322
Casper, WY 82601-1325
Phone
(307) 259-5657
NPI assigned
Oct 6, 2015
Last updated
Mar 26, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW-1076 WY Primary

Addresses

Primary practice location

800 Werner CT Ste 322
Casper, WY 82601-1325

Mailing address

800 Werner CT Ste 322
Casper, WY 82601-1325
Phone (307) 259-5657

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Be Mindfully You, LLC CurrentSince Aug 18, 2019 Accepting new patients

Locations

800 Werner Ct
Ste 322
Casper, WY 82601
Phone (307) 259-5657

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1444089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553558400000",
    "number": "1003286816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 WERNER CT STE 322",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826011325",
            "telephone_number": "307-259-5657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 WERNER CT STE 322",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826011325",
            "telephone_number": "307-259-5657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATIMU",
        "first_name": "BRENNA",
        "middle_name": "NICHOLE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-06",
        "last_updated": "2019-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WY",
            "license": "LCSW-1076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casper, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.