Individual provider Active NPI

Brittany Gayle Yearwood, MSW

  • Clinical Social Worker
  • Garner, NC
National Provider Identifier
1396573341
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P021336 Issued in NC
Practice address
136 US 70 Hwy E
Garner, NC 27529-3982
Phone
(919) 791-5611
Fax
(919) 342-8393
NPI assigned
Jul 22, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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 P021336 NC Primary

Addresses

Primary practice location

136 US 70 Hwy E
Garner, NC 27529-3982

Mailing address

3421 Red Bay Dr
Raleigh, NC 27616-8718
Phone (919) 358-6727

Other practice location 1

187 Wind Chime Ct Ste 202
Raleigh, NC 27615-6478
Phone (919) 358-6727

Other names 1

  • Ms. Brittany Gayle Ballard Former name

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
P021336NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mind & Body Therapeutic Connections, PLLC Clinical CurrentSince Jan 26, 2025 Accepting new patients

Locations

136 US 70 Hwy E
Garner, NC 27529
Phone (919) 614-4527

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": "1721606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1396573341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3421 RED BAY DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276168718",
            "telephone_number": "919-358-6727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 US 70 HWY E",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275293982",
            "telephone_number": "919-791-5611",
            "fax_number": "919-342-8393"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "187 Wind Chime Ct Ste 202",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276156478",
            "country_code": "US",
            "telephone_number": "919-358-6727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YEARWOOD",
        "first_name": "BRITTANY",
        "middle_name": "GAYLE",
        "name_prefix": "Mrs.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-22",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P021336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRITTANY",
            "last_name": "BALLARD",
            "middle_name": "GAYLE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Garner, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; 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.