Active NPI
Brianna Gast, LCSW, LICSW, LAC
- Clinical Social Worker
- Watertown, SD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6056
- Practice address
- 818 S Broadway Ste 113
Watertown, SD 57201-4800 - Phone
- (605) 494-1500
- NPI assigned
- Dec 16, 2018
- Last updated
- Jul 18, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 30454 | MN | |
| Clinical Social Worker | 1041C0700X | 6056 | SD | Primary |
Addresses
Primary practice location
818 S Broadway Ste 113
Watertown, SD 57201-4800
Mailing address
818 S Broadway Ste 113
Watertown, SD 57201-4800
Phone (605) 494-1500
Other names 1
- Brianna Stangl
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD, MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
519 1St St S
New Ulm, MN 56073-3142
Phone (605) 494-1500
818 S Broadway
Suite 109And110
Watertown, SD 57201-4861
Phone (605) 494-1500
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.21 of 100
- Quality
- 92.56
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 41.48
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6056 | SD | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Human Service Agency | Current | Accepting new patients | |
| Rising Hope Counseling, LLC | Clinical | Current | Accepting new patients |
| Rising Hope Together, Inc | Past | Accepting new patients |
Locations
519 1st St S
New Ulm, MN 56073
317 N Heritage Ave
Tea, SD 57064
123 19th St NE
Watertown, SD 57201
Phone (605) 884-3512
600 4th St NE
Ste 203
Watertown, SD 57201
Phone (605) 886-4092
818 S Broadway
Ste 109110
Watertown, SD 57201
Phone (605) 610-6385
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721260800000",
"number": "1730650938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "818 S BROADWAY STE 113",
"city": "WATERTOWN",
"state": "SD",
"postal_code": "572014800",
"telephone_number": "605-494-1500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "818 S BROADWAY STE 113",
"city": "WATERTOWN",
"state": "SD",
"postal_code": "572014800",
"telephone_number": "605-494-1500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAST",
"first_name": "BRIANNA",
"credential": "LCSW, LICSW, LAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-16",
"last_updated": "2024-07-18",
"certification_date": "2024-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "30454",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "SD",
"license": "6056",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BRIANNA",
"last_name": "STANGL",
"credential": "LCSW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Watertown, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.