Brianna Oetken, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

096658 Issued in IA

Practice address

1217 Highway 10 W
Orange City, IA 51041-1500

Phone

(712) 707-9222

Fax

(712) 707-9220

NPI assigned

Oct 4, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Elevate Therapy & Assessment, PLLC

  • Clinical Psychologist
  • Milford, IA
  • NPI 1568092195
  Medicare reassignment NPD
• Family Solutions Services, Inc.

  • Community/Behavioral Health Agency
  • Orange City, IA
  • NPI 1891870374
  Medicare reassignment NPD

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

{
    "created_epoch": "1664841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664841600000",
    "number": "1003531955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 HIGHWAY 10 W",
            "city": "ORANGE CITY",
            "state": "IA",
            "postal_code": "510411500",
            "telephone_number": "712-707-9222",
            "fax_number": "712-707-9220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217 HIGHWAY 10 W",
            "city": "ORANGE CITY",
            "state": "IA",
            "postal_code": "510411500",
            "telephone_number": "712-707-9222",
            "fax_number": "712-707-9220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OETKEN",
        "first_name": "BRIANNA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-04",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "096658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Jo Moss, PHYSICIAN ASSISTANT
• Mark W Muilenburg, M.D.
• Grace Frances Myhrwold
• Beverly Noelck
• Brent Eric Nykamp, M.D.
• Melissa A Ohden, L.I.S.W.
• Payton Oliver
• Ophthalmic Holdings Inc
• Orange City Chiropractic Center P.C.
• Orange City Dentistry, Inc

• Clinical Social Worker in Orange City, IA
• Providers in Orange City, IA by specialty
• Clinical Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.