Organization Active NPI

Brianna E. Yoder

  • Clinical Social Worker
  • Elkhart, IN
National Provider Identifier
1851715619
Registry record updated Feb 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34005748A Issued in IN
Legal business name
BRIANNA E. YODER
Practice address
2801 E Bristol St
Ste B
Elkhart, IN 46514-4386
Phone
(574) 206-9813
Fax
(866) 568-9798
NPI assigned
Feb 13, 2014
Last updated
Feb 13, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2014

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

Authorized official

Name
Brianna E Yoder, LCSWNPI 1780755371
Title
Owner
Phone
(574) 206-9813

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 34005748A IN Primary

Addresses

Primary practice location

2801 E Bristol St
Ste B
Elkhart, IN 46514-4386

Mailing address

2801 E Bristol St
Ste B
Elkhart, IN 46514-4386
Phone (574) 206-9813

Other identifiers 1

IdentifierTypeStateIssuer
201192290AMedicaidIN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1392249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392249600000",
    "number": "1851715619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 E BRISTOL ST",
            "address_2": "STE B",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465144386",
            "telephone_number": "574-206-9813",
            "fax_number": "866-568-9798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 E BRISTOL ST",
            "address_2": "STE B",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465144386",
            "telephone_number": "574-206-9813",
            "fax_number": "866-568-9798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIANNA E. YODER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-13",
        "last_updated": "2014-02-13",
        "status": "A",
        "authorized_official_last_name": "YODER",
        "authorized_official_first_name": "BRIANNA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "574-206-9813",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34005748A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201192290A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkhart, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2014; 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.