Individual provider Active NPI

Brittany M. Prater, MSW, LCSW

  • Clinical Social Worker
  • Warsaw, IN
National Provider Identifier
1801344312
Registry record updated Jan 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34008405A Issued in IN
Practice address
503 E Fort Wayne St
Warsaw, IN 46580-3338
Phone
(574) 267-2906
NPI assigned
Sep 13, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 34008405A IN Primary

Addresses

Primary practice location

503 E Fort Wayne St
Warsaw, IN 46580-3338

Mailing address

305 Reed St
South Whitley, IN 46787-1264
Phone (260) 610-3040

Other practice location 1

119 W Market St
Columbia City, IN 46725-2311
Phone (260) 248-8176

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
34008405AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hambright and Associates Inc Clinical Past Accepting new patients

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": "1473724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548720000000",
    "number": "1801344312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 REED ST",
            "city": "SOUTH WHITLEY",
            "state": "IN",
            "postal_code": "467871264",
            "telephone_number": "260-610-3040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 E FORT WAYNE ST",
            "city": "WARSAW",
            "state": "IN",
            "postal_code": "465803338",
            "telephone_number": "574-267-2906"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "119 W Market St",
            "address_purpose": "LOCATION",
            "city": "Columbia City",
            "state": "IN",
            "postal_code": "467252311",
            "country_code": "US",
            "telephone_number": "260-248-8176",
            "fax_number": "260-248-2366",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRATER",
        "first_name": "BRITTANY",
        "middle_name": "M.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-13",
        "last_updated": "2019-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34008405A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warsaw, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2019; 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.