Individual provider Active NPI

Brittney Plaisted, CLINICAL SOCIAL WORK

  • Clinical Social Worker
  • Elko, NV
National Provider Identifier
1366130684
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
IC-2178 Issued in NV
Practice address
1042 Commercial St
Elko, NV 89801-3948
Phone
(775) 388-3787
NPI assigned
Apr 25, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 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 WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X IC-2178 NV Primary

Addresses

Primary practice location

1042 Commercial St
Elko, NV 89801-3948

Mailing address

357 Bluecrest Dr
Spring Creek, NV 89815-5226
Phone (775) 397-5027

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
IC-2178NVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Evolution Counseling and Behavioral Health LLC CurrentSince Apr 30, 2023 Accepting new patients
Elko Family Wellness Center Clinical Past Accepting new patients

Locations

1042 Commercial St
Elko, NV 89801
Phone (775) 384-4096

Interoperability endpoints

  • Direct secure messaging: elkofamilywellnesscenter.brittneyplaisted@157442.advancedmd-direct.com

Organizations & group practices 2

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": "1682380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685491200000",
    "number": "1366130684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "357 BLUECREST DR",
            "city": "SPRING CREEK",
            "state": "NV",
            "postal_code": "898155226",
            "telephone_number": "775-397-5027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1042 COMMERCIAL ST",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "898013948",
            "telephone_number": "775-388-3787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLAISTED",
        "first_name": "BRITTNEY",
        "credential": "CLINICAL SOCIAL WORK",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-25",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "IC-2178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elko, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.