Individual provider Active NPI

Brittany Nicole Price, MSW, LSW

  • Social Worker
  • Goshen, IN
National Provider Identifier
1356855027
Registry record updated Nov 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
33008443A Issued in IN
Practice address
62226 County Road 15
Goshen, IN 46526-9438
Phone
(574) 875-5117
NPI assigned
Nov 16, 2017
Last updated
Nov 16, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 33008443A IN Primary

Addresses

Primary practice location

62226 County Road 15
Goshen, IN 46526-9438

Mailing address

22387 Pine Arbor Dr Apt 2B
Elkhart, IN 46516-8938
Phone (574) 209-2221

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
33008443AINMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Reflections Counseling CurrentSince Feb 1, 2024 Accepting new patients
Dr Heather Holleman LLC CurrentSince Feb 1, 2024 Accepting new patients
Bashor Home of the United Methodist Church, Inc Social Worker Past Accepting new patients

Locations

3220 E Jefferson Blvd
South Bend, IN 46615
Phone (574) 222-2466

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": "1510790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510790400000",
    "number": "1356855027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22387 PINE ARBOR DR APT 2B",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465168938",
            "telephone_number": "574-209-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62226 COUNTY ROAD 15",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465269438",
            "telephone_number": "574-875-5117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE",
        "first_name": "BRITTANY",
        "middle_name": "NICOLE",
        "credential": "MSW, LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-16",
        "last_updated": "2017-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IN",
            "license": "33008443A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goshen, IN

Sources for this page

Verify at the official NPI Registry.