Brittany Pagan-Male, LCSW, CADC, DVPC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149015785 Issued in IL

Practice address

2128 Midlands CT
Suite 107
Sycamore, IL 60178-3199

Phone

(815) 758-8400

Fax

(815) 758-8441

NPI assigned

May 9, 2013

Last updated

May 9, 2013By the provider in NPPES

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 IL

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

Specialty

Clinical Social Worker

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Modus Operandi LLC

  dba Blackberry Counseling Center

  • Mental Health Counselor
  • Elburn, IL
  • NPI 1821684986
  Medicare reassignment NPD
• Three Birds Mental Health Services PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Sycamore, IL
  • NPI 1144141870
  NPD (past)

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

{
    "created_epoch": "1368057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368057600000",
    "number": "1275978728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 276",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601780276",
            "telephone_number": "815-758-8400",
            "fax_number": "815-758-8441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2128 MIDLANDS CT",
            "address_2": "SUITE 107",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601783199",
            "telephone_number": "815-758-8400",
            "fax_number": "815-758-8441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGAN-MALE",
        "first_name": "BRITTANY",
        "credential": "LCSW, CADC, DVPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-09",
        "last_updated": "2013-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149015785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oral and Maxillo Facial Surgeons for Northern Illinois
• Orthodontic Experts
• Osf Multi-Specialty Group (OSF OnCall Urgent Care)
• Chimdiya Concilia Osisioma, APRN
• Jennifer Jo Pacaccio, D.P.M.
• Ashlee Panozzo, RN
• Partners in Children's Health,S.C.
• Passion for Living Counseling Services LLC
• Bhavisha Patel, M.D.
• Ilaxi Patel, D.O.

• Clinical Social Worker in Sycamore, IL
• Providers in Sycamore, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2013; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.