Individual provider Active NPI

Brittany Lynne Cheviron, LSCW

  • Clinical Social Worker
  • Indianapolis, IN
National Provider Identifier
1508417882
Registry record updated Sep 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34008448A Issued in IN
Practice address
6511 Ferguson St Unit a
Indianapolis, IN 46220-1148
Phone
(260) 445-6912
NPI assigned
Sep 26, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2019

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 34008448A IN Primary

Addresses

Primary practice location

6511 Ferguson St Unit a
Indianapolis, IN 46220-1148

Mailing address

6511 Ferguson St Unit a
Indianapolis, IN 46220-1148

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
34008448AINMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1569456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569456000000",
    "number": "1508417882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6511 FERGUSON ST UNIT A",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462201148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6511 FERGUSON ST UNIT A",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462201148",
            "telephone_number": "260-445-6912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEVIRON",
        "first_name": "BRITTANY",
        "middle_name": "LYNNE",
        "name_prefix": "Miss",
        "credential": "LSCW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-26",
        "last_updated": "2019-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34008448A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2019; 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.