Individual provider Active NPI

Brittany Woodley, LCSW-S, LISW-S

  • Clinical Social Worker
  • Dallas, TX
National Provider Identifier
1023441516
Registry record updated Apr 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
64116 Issued in TX
Practice address
3083 Herschel Ave Apt 309
Dallas, TX 75219-2064
Phone
(214) 775-0857
NPI assigned
Aug 20, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I.1500838-SUPV OH
Clinical Social Worker 1041C0700X S.1302590 OH
Clinical Social Worker 1041C0700X 64116 TX Primary

Addresses

Primary practice location

3083 Herschel Ave Apt 309
Dallas, TX 75219-2064

Mailing address

3083 Herschel Ave Apt 309
Dallas, TX 75219-2064
Phone (214) 775-0857

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
64116TXMDProfessional Counselor
I.1500838-SUPVOHMDClinical Social Worker
S.1302590OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Empowering Space, PLLC Clinical CurrentSince May 7, 2024 Accepting new patients

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": "1376956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585785600000",
    "number": "1023441516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3083 HERSCHEL AVE APT 309",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752192064",
            "telephone_number": "214-775-0857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3083 HERSCHEL AVE APT 309",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752192064",
            "telephone_number": "214-775-0857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODLEY",
        "first_name": "BRITTANY",
        "credential": "LCSW-S, LISW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-20",
        "last_updated": "2020-04-02",
        "certification_date": "2020-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1500838-SUPV",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "S.1302590",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "64116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.