Individual provider Active NPI

Brittany Ketchem, LCSW

  • Social Worker
  • Danville, PA
National Provider Identifier
1467174011
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW139535 Issued in PA
Practice address
620 Mill St Ste 203
Danville, PA 17821-1065
Phone
(570) 218-8596
Fax
(855) 606-4232
NPI assigned
Sep 12, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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 SW139535 PA Primary

Addresses

Primary practice location

620 Mill St Ste 203
Danville, PA 17821-1065

Mailing address

620 Mill St Ste 203
Danville, PA 17821-1065
Phone (570) 218-8596

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
SW139535PAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mind and Thrive Wellness, LLC Social Worker CurrentSince Sep 20, 2022 Accepting new patients

Locations

620 Mill St
Ste 203
Danville, PA 17821
Phone (570) 218-8596

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": "1662940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1467174011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 MILL ST STE 203",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178211065",
            "telephone_number": "570-218-8596",
            "fax_number": "855-606-4232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 MILL ST STE 203",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178211065",
            "telephone_number": "570-218-8596",
            "fax_number": "855-606-4232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KETCHEM",
        "first_name": "BRITTANY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-12",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW139535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.