Individual provider Active NPI

Brandy Elizabeth Wyant, MPH, MSW, LICSW

  • Clinical Social Worker
  • Arlington, MA
National Provider Identifier
1134606841
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
58 Medford St
Arlington, MA 02474-3124
Phone
(412) 728-3749
NPI assigned
Jul 25, 2018
Last updated
Oct 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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 Primary

Addresses

Primary practice location

58 Medford St
Arlington, MA 02474-3124

Mailing address

58 Medford St
Arlington, MA 02474-3124

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 15, 2025 through Apr 15, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Brandy E. Wyant, LLC Current Accepting new patients
Riverside Community Care PastSince Mar 1, 2021 Accepting new patients
Riverside Community Care, Inc. PastSince Mar 1, 2021 Accepting new patients

Locations

58 Medford St
Arlington, MA 02474
Phone (781) 863-9591

Organizations & group practices 3

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": "1532476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1134606841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 MEDFORD ST",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024743124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 MEDFORD ST",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024743124",
            "telephone_number": "412-728-3749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYANT",
        "first_name": "BRANDY",
        "middle_name": "ELIZABETH",
        "credential": "MPH, MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-25",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, MA

Sources for this page

Verify at the official NPI Registry.