Individual provider Active NPI

Brittany Blauvelt

  • Clinical Social Worker
  • Casper, WY
National Provider Identifier
1942070115
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
PCSW-1137 Issued in WY
Practice address
940 E 3Rd St
Casper, WY 82601-3237
Phone
(307) 462-4876
Fax
(307) 337-3492
NPI assigned
Jan 8, 2024
Last updated
Feb 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 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 PCSW-1137 WY Primary

Addresses

Primary practice location

940 E 3Rd St
Casper, WY 82601-3237

Mailing address

940 E 3Rd St Ste 104
Casper, WY 82601-3200
Phone (307) 462-4876

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
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

Enrollment IDStateProvider typePAC IDDetails
I20260307000131 WY Practitioner - Clinical Social Worker 7810479888 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

35 Jonquil St
Casper, WY 82604-3881

940 E 3Rd St
Suite 104
Casper, WY 82601-3200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PCSW-1137WYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Park Ridge Behavioral Healthcare, LLC CurrentSince Dec 31, 2025 Accepting new patients

Locations

940 E 3rd St
Ste 104
Casper, WY 82601
Phone (307) 337-3491

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, 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": "1704672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1942070115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 E 3RD ST STE 104",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826013200",
            "telephone_number": "307-462-4876",
            "fax_number": "307-337-3492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 E 3RD ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826013237",
            "telephone_number": "307-462-4876",
            "fax_number": "307-337-3492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAUVELT",
        "first_name": "BRITTANY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-08",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WY",
            "license": "PCSW-1137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casper, WY

Sources for this page

Verify at the official NPI Registry.