Brittanie Landis, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

253957 Issued in KY

Practice address

102 Winston Way Ste 5
Campbellsville, KY 42718-4991

Phone

(270) 789-0034

NPI assigned

Aug 22, 2016

Last updated

Jun 2, 2020By 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 KY

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Hope

  • Community/Behavioral Health Agency
  • Lebanon, KY
  • NPI 1356893630
  Medicare reassignment
• Bluegrass Professional Counseling, LLC

  • Professional Counselor
  • Munfordville, KY
  • NPI 1063899789
  NPD (past)
• Kimberly Gambino LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Munfordville, KY
  • NPI 1417511973
  NPD (past)

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

{
    "created_epoch": "1471824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591056000000",
    "number": "1356896211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "379 BLUE RIDGE RD",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427188320",
            "telephone_number": "270-469-6279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 WINSTON WAY STE 5",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427184991",
            "telephone_number": "270-789-0034"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "103 E South St",
            "address_purpose": "LOCATION",
            "city": "Munfordville",
            "state": "KY",
            "postal_code": "427659023",
            "country_code": "US",
            "telephone_number": "270-696-3181",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "107 Cranes Roost Ct",
            "address_purpose": "LOCATION",
            "city": "Elizabethtown",
            "state": "KY",
            "postal_code": "427013650",
            "country_code": "US",
            "telephone_number": "270-765-2605",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1030 Commerce Dr",
            "address_purpose": "LOCATION",
            "city": "Elizabethtown",
            "state": "KY",
            "postal_code": "427011281",
            "country_code": "US",
            "telephone_number": "270-506-1064 x102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANDIS",
        "first_name": "BRITTANIE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-22",
        "last_updated": "2020-06-02",
        "certification_date": "2020-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "253957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lake Cumberland District Health Dept (Campbellsville Middle School)
• Lake Cumberland District Health Dept (Taylor County High School)
• Lake Cumberland District Health Dept (Taylor County Middle School)
• Lake Cumberland District Health Dept (Taylor County Elementary School)
• Lake Cumberland Recovery, Inc
• Latashia Lane
• Megan Yvette Lane, APRN
• Cambria Laramore
• Sigrid Lawhorn
• Kimberly H Lawless, AU.D.

• Clinical Social Worker in Campbellsville, KY
• Providers in Campbellsville, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.