Individual provider Active NPI

Brittany Marie Mayfield-Lane, LCSW

  • Clinical Social Worker
  • Orlando, FL
National Provider Identifier
1861088007
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW23199 Issued in FL
Practice address
6718 Lake Nona Blvd
Orlando, FL 32827-7982
Phone
(833) 769-3524
Fax
(321) 418-8926
NPI assigned
Dec 11, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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 SW23199 FL Primary

Addresses

Primary practice location

6718 Lake Nona Blvd
Orlando, FL 32827-7982

Mailing address

9217 17TH Ave S Ste 214
Bloomington, MN 55425-2372

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
SW23199FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bright Light Center CurrentSince Dec 1, 2020 Accepting new patients

Locations

9217 17th Ave S
Ste 214
Bloomington, MN 55425
Phone (952) 228-3797

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": "1607644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1861088007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9217 17TH AVE S STE 214",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554252372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6718 LAKE NONA BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328277982",
            "telephone_number": "833-769-3524",
            "fax_number": "321-418-8926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYFIELD-LANE",
        "first_name": "BRITTANY",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-11",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW23199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; 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.