Individual provider Active NPI

Brittany Miskowiec, PHD, MSW, LICSW

  • Clinical Social Worker
  • Cottage Grove, MN
National Provider Identifier
1942652201
Registry record updated Jun 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
22281 Issued in MN
Practice address
8410 Foothill Rd S
Cottage Grove, MN 55016-3223
Phone
(612) 412-3788
NPI assigned
Jul 11, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2019

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 22281 MN Primary

Addresses

Primary practice location

8410 Foothill Rd S
Cottage Grove, MN 55016-3223

Mailing address

8410 Foothill Rd S
Cottage Grove, MN 55016-3223

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20240516002376 MN Practitioner - Clinical Social Worker 1456791797 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
22281MNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness That Fits, LLC Clinical CurrentSince Mar 23, 2024 Accepting new patients

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": "1468195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560124800000",
    "number": "1942652201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8410 FOOTHILL RD S",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550163223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8410 FOOTHILL RD S",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550163223",
            "telephone_number": "612-412-3788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISKOWIEC",
        "first_name": "BRITTANY",
        "credential": "PHD, MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-11",
        "last_updated": "2019-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "22281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cottage Grove, MN

Sources for this page

Verify at the official NPI Registry.