Individual provider Active NPI

Brittney Claire Lieb, LMSW

  • Social Worker
  • Johnston, IA
National Provider Identifier
1780304279
Registry record updated Sep 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
115132 Issued in IA
Practice address
9550 White Oak LN Ste 200
Johnston, IA 50131-2267
Phone
(515) 259-8110
NPI assigned
Sep 2, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 115132 IA Primary

Addresses

Primary practice location

9550 White Oak LN Ste 200
Johnston, IA 50131-2267

Mailing address

1313 NW 92ND St
Clive, IA 50325-6275
Phone (563) 210-7729

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
115132IAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Creative Community Options Inc CurrentSince Sep 4, 2022 Accepting new patients

Locations

9550 White Oak Ln
Ste 200
Johnston, IA 50131
Phone (515) 259-8110

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": "1662076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662076800000",
    "number": "1780304279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 NW 92ND ST",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503256275",
            "telephone_number": "563-210-7729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9550 WHITE OAK LN STE 200",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501312267",
            "telephone_number": "515-259-8110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEB",
        "first_name": "BRITTNEY",
        "middle_name": "CLAIRE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-02",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IA",
            "license": "115132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnston, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.