Brittany Gabriella Ardoin, LCSW
Individual provider Active NPI Clinical Social Worker · Greenville, TX
NPI 1043079841 · NPPES record last updated Mar 15, 2024
Key facts
- NPI
- 1043079841
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 64928 (TX)
- Practice address
- 3005 Joe Ramsey Blvd E Ste a
Greenville, TX 75401-7776 - Phone
- (903) 455-4458
- NPI assigned
- Mar 15, 2024
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240430000940 | TX | Practitioner - Clinical Social Worker | 4789024357 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 64928 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Service Agency, Inc. | Current |
Accepting new patients | |
| Community Health Service Agency, Inc. | Current |
Accepting new patients | |
| Community Health Service Agency, Inc. | Past | Accepting new patients |
Locations
91 W Side Sq
Cooper, TX 75432
Phone (903) 395-0586
3005 Joe Ramsey Blvd E
Ste A
Greenville, TX 75401
Phone (903) 454-1886
Interoperability endpoints
- brittany.ardoin.p4@direct.chsa.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 64928 | TX | Yes |
Addresses
Primary practice location
3005 Joe Ramsey Blvd E Ste a
Greenville, TX 75401-7776
Mailing address
PO Box 1908
Greenville, TX 75403-1908
Phone (903) 454-3025
Other providers in Greenville, TX
- Megan Elizabeth Anderton
- Tressie K Anigbo
- Christina Nicole Anthony
- Apex Radiology PA
- Applegate Health Services, Inc
- Flossie Arnold
- Assisted Living Concepts Inc
- Athletico LTD
- Ave Maria Counseling Center, LLC
- Aydil RX Services, LLC
All providers in Greenville, TX · Clinical Social Worker in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 15, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.