Individual provider Active NPI

Brittany Leigh Laffitte, LCSW

  • Clinical Social Worker
  • Tallahassee, FL
National Provider Identifier
1760813166
Registry record updated Dec 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW13442 Issued in FL
Practice address
109 W 4TH Ave
Tallahassee, FL 32303-6152
Phone
(850) 830-3886
NPI assigned
Dec 10, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2019

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
Clinical Social Worker 1041C0700X SW13442 FL Primary

Addresses

Primary practice location

109 W 4TH Ave
Tallahassee, FL 32303-6152

Mailing address

6436 Forward Pass TRL
Tallahassee, FL 32309-2006
Phone (850) 830-3886

Other practice location 1

4500 W Shannon Lakes Dr Ste 3
Tallahassee, FL 32309-2240
Phone (850) 942-2000

Other identifiers 1

IdentifierTypeStateIssuer
640777MedicaidFL

Other names 1

  • Ms. Brittany Leigh McClintock Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: No
  • 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
I20220922000701 CO Practitioner - Clinical Social Worker 1951632280 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Doctor on Demand Professionals P C CurrentSince Oct 1, 2023 Accepting new patients

Locations

1 California St
Ste 2300
San Francisco, CA 94111
Phone (800) 929-0926

275 Battery St
Ste 650
San Francisco, CA 94111
Phone 4155043838104

1900 W Littleton Blvd
Littleton, CO 80120
Phone 41550438389238

Organizations & group practices 1

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": "1386633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576972800000",
    "number": "1760813166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6436 FORWARD PASS TRL",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323092006",
            "telephone_number": "850-830-3886",
            "fax_number": "850-942-2003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 W 4TH AVE",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323036152",
            "telephone_number": "850-830-3886"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4500 W Shannon Lakes Dr Ste 3",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323092240",
            "country_code": "US",
            "telephone_number": "850-942-2000",
            "fax_number": "850-942-2003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAFFITTE",
        "first_name": "BRITTANY",
        "middle_name": "LEIGH",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-10",
        "last_updated": "2019-12-22",
        "certification_date": "2019-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW13442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "640777",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRITTANY",
            "last_name": "MCCLINTOCK",
            "middle_name": "LEIGH",
            "prefix": "MS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.