Individual provider Active NPI

Brittany Yelnick

  • Clinical Social Worker
  • St Charles, IL
National Provider Identifier
1831884634
Registry record updated Apr 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.025467 Issued in IL
Practice address
103 N 11TH Ave # Suits106
St Charles, IL 60174-2289
Phone
(630) 296-4169
NPI assigned
Apr 7, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2023

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 149.025467 IL Primary

Addresses

Primary practice location

103 N 11TH Ave # Suits106
St Charles, IL 60174-2289

Mailing address

902 S Randall Rd Ste C134
St Charles, IL 60174-1781

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.025467ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Obsidian Behavioral Health PLLC Clinical CurrentSince Apr 9, 2023 Accepting new patients
Resonate & Elevate LLC Clinical Past Accepting new patients

Locations

902 S Randall Rd
Ste C134
St Charles, IL 60174

103 N 11th Ave
Ste 106
St Charles, IL 60174
Phone (630) 296-4169

Organizations & group practices 2

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": "1680825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680825600000",
    "number": "1831884634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 S RANDALL RD STE C134",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601741781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 N 11TH AVE # SUITS106",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601742289",
            "telephone_number": "630-296-4169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YELNICK",
        "first_name": "BRITTANY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-07",
        "last_updated": "2023-04-07",
        "certification_date": "2023-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.025467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Charles, IL

Sources for this page

Verify at the official NPI Registry.