Brittlyn Nicole Foster
Individual provider Active NPI Clinical Social Worker · Stateline, NV
NPI 1750001780 · NPPES record last updated Apr 15, 2025
Key facts
- NPI
- 1750001780
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Practice address
- 298 Kingsbury Grade # 2HK
Stateline, NV 89449-9804 - Phone
- (530) 208-0641
- NPI assigned
- Aug 30, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Opted out of Medicare
- Yes, effective Jun 1, 2026 through Jun 1, 2028
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250625004243 | CA | Practitioner - Clinical Social Worker | 4587176318 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles (3 of 4)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neighborhood Healthcare | Current |
Accepting new patients | |
| Neighborhood Healthcare | Current |
Accepting new patients | |
| Neighborhood Healthcare | Past | Accepting new patients |
Locations
855 E Madison Ave
El Cajon, CA 92020
Phone (619) 440-2751
425 N Date St
#0
Escondido, CA 92025
215 S Hickory St
Escondido, CA 92025
Phone (619) 354-3833
425 N Date St
Escondido, CA 92025
Phone (760) 737-2035
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | NV | Yes | |
| Clinical Social Worker | 1041C0700X | CA |
Addresses
Primary practice location
298 Kingsbury Grade # 2HK
Stateline, NV 89449-9804
Mailing address
PO Box 4513
Stateline, NV 89449-4513
Phone (858) 205-4384
Other practice location 1
425 N Date St
Escondido, CA 92025-3413
Phone (833) 867-4642
Other providers in Stateline, NV
- Nichole Delaplante
- Tania Josephine Dickson-Humphries
- Eric J Ewald Jr.
- Eyezone, Inc.
- Michelle Wilkerson Feeney
- Melissa N George
- Kathryn Theresa Gollotto
- David Vincent Gomez
- Nicole Helen Gordon
- High Sierra Behavioral Health
All providers in Stateline, NV · Clinical Social Worker in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 15, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.