Individual provider Active NPI

Bodie Bryte, MSW, LCSW

  • Clinical Social Worker
  • Bloomington, IN
National Provider Identifier
1972882835
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34006453A Issued in IN
Practice address
4307 S Leonard Springs Rd
Bloomington, IN 47403-4078
Phone
(812) 223-7186
NPI assigned
Aug 10, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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 34006453A IN Primary

Addresses

Primary practice location

4307 S Leonard Springs Rd
Bloomington, IN 47403-4078

Mailing address

4307 S Leonard Springs Rd
Bloomington, IN 47403-4078
Phone (812) 223-7186

Other names 1

  • Caitlin E Bryte Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20120518000004 IN Practitioner - Clinical Social Worker 8022271634 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eartheart LLCGroup PAC ID 5597061390, 4 clinicians

Practice addresses (Care Compare)

4307 S Leonard Springs Rd
Bloomington, IN 47403-4078
Phone (812) 345-2176

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34006453AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Eartheart LLC CurrentSince Apr 21, 2023 Accepting new patients

Organizations & group practices 2

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": "1312934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1972882835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4307 S LEONARD SPRINGS RD",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474034078",
            "telephone_number": "812-223-7186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4307 S LEONARD SPRINGS RD",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474034078",
            "telephone_number": "812-223-7186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYTE",
        "first_name": "BODIE",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-10",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34006453A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAITLIN",
            "last_name": "BRYTE",
            "middle_name": "E",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bloomington, IN

Sources for this page

Verify at the official NPI Registry.