Individual provider Active NPI

Brittany Poole, LCSW

  • Clinical Social Worker
  • Phoenix, AZ
National Provider Identifier
1518380302
Registry record updated Jan 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-18996 Issued in AZ
Practice address
2501 W Happy Valley Rd
Phoenix, AZ 85085-3701
Phone
(602) 699-6045
NPI assigned
Jan 29, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LMSW-13718 AZ
Clinical Social Worker 1041C0700X LCSW-18996 AZ Primary

Addresses

Primary practice location

2501 W Happy Valley Rd
Phoenix, AZ 85085-3701

Mailing address

9250 W Lone Cactus Dr
Peoria, AZ 85382-8329
Phone (480) 702-8222

Other practice location 1

1738 Wynkoop St Ste 303
Denver, CO 80202-1000
Phone (844) 257-0988

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL https://www.sondermind.com Other
Other URL www.therapynotes.com Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20220822001050 AZ Practitioner - Clinical Social Worker 9032592225 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

Practice addresses (Care Compare)

20 E Thomas Rd
Suite 2200
Phoenix, AZ 85012-3133
Phone (866) 630-0966

9250 W Lone Cactus Dr
Peoria, AZ 85382-8329
Phone (480) 819-3249

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMSW-13718AZMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sondermind Provider Network LLC Clinical CurrentSince Jan 31, 2023 Accepting new patients
Resilient Solutions Counseling and Consulting Services LLC Clinical CurrentSince Jan 30, 2024 Accepting new patients

Locations

20 E Thomas Rd
Ste 2200
Phoenix, AZ 85012
Phone (310) 515-8113

1738 Wynkoop St
Ste 303
Denver, CO 80202
Phone (720) 263-0260

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": "1390953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672963200000",
    "number": "1518380302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9250 W LONE CACTUS DR",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853828329",
            "telephone_number": "480-702-8222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 W HAPPY VALLEY RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850853701",
            "telephone_number": "602-699-6045"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1738 Wynkoop St Ste 303",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802021000",
            "country_code": "US",
            "telephone_number": "844-257-0988",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POOLE",
        "first_name": "BRITTANY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-29",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AZ",
            "license": "LMSW-13718",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-18996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.sondermind.com",
            "affiliation": "N",
            "endpointDescription": "clinical notes and documentation portal",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "documentation",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "electronic virtual records",
            "address_1": "1738 Wynkoop St Ste 303",
            "city": "Denver",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802021000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.therapynotes.com",
            "affiliation": "N",
            "endpointDescription": "clinical notes and documentation portal",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "documentation",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "electronic virtual record",
            "address_1": "2501 W Happy Valley Rd",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850853701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.