Individual provider Active NPI

Brianna Gast, LCSW, LICSW, LAC

  • Clinical Social Worker
  • Watertown, SD
National Provider Identifier
1730650938
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6056 Issued in SD
Practice address
818 S Broadway Ste 113
Watertown, SD 57201-4800
Phone
(605) 494-1500
NPI assigned
Dec 16, 2018
Last updated
Jul 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, MN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200917001842 SD Practitioner - Clinical Social Worker 2264850304 Reassigns benefits to 2 organizations
I20211203001533 MN Practitioner - Clinical Social Worker 2264850304 Reassigns benefits to 1 organization

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
Rising Hope Counseling, LLCGroup PAC ID 3274958640, 47 clinicians

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 100Reported as group
Quality
92.56
Promoting interoperability
100
Improvement activities
40
Cost
41.48

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6056SDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Human Service Agency CurrentSince Sep 1, 2020 Accepting new patients
Rising Hope Counseling, LLC Clinical CurrentSince May 1, 2024 Accepting new patients
Rising Hope Together, Inc PastSince Jan 24, 2021 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.

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

Verify at the official NPI Registry.