Briena Wyckstandt, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.023409 Issued in IL

Practice address

1300 W 2ND St
Rock Falls, IL 61071-1005

Phone

(815) 626-2230

NPI assigned

Aug 19, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Briena Sanders Former name

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: briena.wyckstandt.p16@direct.fhn-fqhc.nextgenshare.com

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.

• County of Whiteside

  • Federally Qualified Health Center (FQHC)
  • Rock Falls, IL
  • NPI 1528008034

  Clinical

  Medicare reassignment NPD
• County of Whiteside

  • Public Health or Welfare Agency
  • Rock Falls, IL
  • NPI 1699778373

  Clinical

  NPD
• Whiteside County Community Health Clinic

  • Federally Qualified Health Center (FQHC)
  • Sterling, IL
  • NPI 1821744194
  NPD

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

{
    "created_epoch": "1629331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629331200000",
    "number": "1891461760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11459 LYNDON RD",
            "city": "MORRISON",
            "state": "IL",
            "postal_code": "612709546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 W 2ND ST",
            "city": "ROCK FALLS",
            "state": "IL",
            "postal_code": "610711005",
            "telephone_number": "815-626-2230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYCKSTANDT",
        "first_name": "BRIENA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-19",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.023409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIENA",
            "last_name": "SANDERS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Whiteside County Community Health Clinic
• Whiteside County Community Health Clinic
• Whiteside County School Dist 301
• Susan Wilhelm, LCSW
• Monica M Wilwert, DDS
• William Donald Yemm, D.D.S.

• Clinical Social Worker in Rock Falls, IL
• Providers in Rock Falls, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.