Bret Davis Eartheart, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34006996A Issued in IN

Practice address

4307 S Leonard Springs Rd
Bloomington, IN 47403-4078

Phone

(812) 345-2176

Fax

(206) 984-2440

NPI assigned

Feb 7, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Bret Davis Other name

Medicare fee-for-service enrollment

Enrolled in IN

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

Specialty

Clinical Social Worker

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Eartheart LLCGroup PAC ID 5597061390, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Eartheart LLC

  • Mental Health Counselor
  • Bloomington, IN
  • NPI 1720444813
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1297036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543449600000",
    "number": "1760788913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4307 S LEONARD SPRINGS RD",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474034078",
            "telephone_number": "812-345-2176",
            "fax_number": "206-984-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4307 S LEONARD SPRINGS RD",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474034078",
            "telephone_number": "812-345-2176",
            "fax_number": "206-984-2440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EARTHEART",
        "first_name": "BRET",
        "middle_name": "DAVIS",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-02-07",
        "last_updated": "2018-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34006996A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000991115",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5338998",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRET",
            "last_name": "DAVIS",
            "credential": "MSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Eagle Dancer Inc
• Sarah Earhart
• Kamiyah Earley
• William Wade Earls, M.A.
• Eartheart LLC
• Kelly Jo Easley
• East West Accupunture, Inc.
• Kevin East, PHARMD
• Tori J Eastes
• Elysia Easton

• Clinical Social Worker in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2018; 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.

Verify at the official NPI Registry.