Individual provider Active NPI

Brianna Sneed

  • Clinical Social Worker
  • La Grange, IL
National Provider Identifier
1184401671
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149025406 Issued in IL
Practice address
328 E Calendar Ave
La Grange, IL 60525-2511
Phone
(708) 491-6991
NPI assigned
Sep 11, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

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 149025406 IL Primary

Addresses

Primary practice location

328 E Calendar Ave
La Grange, IL 60525-2511

Mailing address

328 E Calendar Ave
La Grange, IL 60525-2511
Phone (708) 491-6991

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 15, 2024 through Feb 15, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
149025406ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Inner Growth Therapy Services, LLC Clinical PastSince Mar 1, 2021 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1184401671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 E CALENDAR AVE",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605252511",
            "telephone_number": "708-491-6991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 E CALENDAR AVE",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605252511",
            "telephone_number": "708-491-6991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNEED",
        "first_name": "BRIANNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-11",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149025406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Grange, IL

Sources for this page

Verify at the official NPI Registry.