Individual provider Active NPI

Priscilla Brinkman, LCSW

  • Clinical Social Worker
  • Geneva, IL
National Provider Identifier
1407025398
Registry record updated Jan 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149-000351 Issued in IL
Practice address
711 South St
Geneva, IL 60134-2511
Phone
(630) 471-2117
NPI assigned
Feb 25, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 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 Worker 1041C0700X 149-000351 IL Primary

Addresses

Primary practice location

711 South St
Geneva, IL 60134-2511

Mailing address

825 W State St Ste 118
Geneva, IL 60134-2078
Phone (630) 471-2117

Other identifiers 1

IdentifierTypeStateIssuer
IL7126MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.pbrinkman.com/

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20090212000666 IL Practitioner - Clinical Social Worker 5294890927 Practice locations: Geneva, IL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

825 W State St
Suite 118
Geneva, IL 60134-2078
Phone (630) 471-2117

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149-000351ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Emma B Arellano Cabusao LTD Past Accepting new patients
Intermission Therapies, LTD. Clinical PastSince Nov 1, 2024 Accepting new patients

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": "1203897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674000000000",
    "number": "1407025398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 W STATE ST STE 118",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601342078",
            "telephone_number": "630-471-2117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 SOUTH ST",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601342511",
            "telephone_number": "630-471-2117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRINKMAN",
        "first_name": "PRISCILLA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-25",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149-000351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "IL7126",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.pbrinkman.com/",
            "affiliation": "N",
            "address_1": "825 W State St Ste 118",
            "city": "Geneva",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601342078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Geneva, IL

Sources for this page

Verify at the official NPI Registry.