Individual provider Active NPI

Brianna Wedeward

  • Clinical Social Worker
  • Powell, WY
National Provider Identifier
1922466143
Registry record updated Jun 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
507 N Clark St
Powell, WY 82435-1915
Phone
(307) 754-7970
NPI assigned
Feb 2, 2016
Last updated
Jun 24, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

507 N Clark St
Powell, WY 82435-1915

Mailing address

507 N Clark St
Powell, WY 82435-1915
Phone (307) 754-7970

Other practice location 1

37875 Jasper Lowell Rd
Jasper, OR 97438-9751
Phone (541) 747-1235

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

Practice roles

OrganizationSpecialtyStatusNew patients
Positive Progressions, LLC Clinical CurrentSince Jun 28, 2020 Accepting new patients
Jasper Mountain Past Accepting new patients
Chrysalis Treatment Center, Inc. PastSince Jun 28, 2020 Accepting new patients
Jasper Mountain PastSince Aug 29, 2021 Accepting new patients

Locations

507 N Clark St
Powell, WY 82435
Phone (307) 754-7970

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1454371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592956800000",
    "number": "1922466143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 N CLARK ST",
            "city": "POWELL",
            "state": "WY",
            "postal_code": "824351915",
            "telephone_number": "307-754-7970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 N CLARK ST",
            "city": "POWELL",
            "state": "WY",
            "postal_code": "824351915",
            "telephone_number": "307-754-7970"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "37875 Jasper Lowell Rd",
            "address_purpose": "LOCATION",
            "city": "Jasper",
            "state": "OR",
            "postal_code": "974389751",
            "country_code": "US",
            "telephone_number": "541-747-1235",
            "fax_number": "541-747-4722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEDEWARD",
        "first_name": "BRIANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-02",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Powell, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2020; 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.