Individual provider Active NPI

Brittany Schank, LICSW

  • Clinical Social Worker
  • Fargo, ND
National Provider Identifier
1992252621
Registry record updated Jun 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4949 Issued in ND
Practice address
1321 23Rd St S Ste D
Fargo, ND 58103-3724
Phone
(701) 203-8725
NPI assigned
Sep 11, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 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 4949 ND Primary

Addresses

Primary practice location

1321 23Rd St S Ste D
Fargo, ND 58103-3724

Mailing address

1321 23Rd St S Ste D
Fargo, ND 58103-3724
Phone (701) 203-8725

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
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
I20200916001253 ND Practitioner - Clinical Social Worker 8426476854 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of North Dakota School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Solace Counseling PLLCGroup PAC ID 1254759681, 5 clinicians

Practice addresses (Care Compare)

1131 Westrac Dr S
Suite 100
Fargo, ND 58103-2374
Phone (701) 232-0760

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Solace Counseling PLLC Clinical CurrentSince Jul 30, 2020 Accepting new patients
Creative Spirit Counseling, PLLC Clinical PastSince Sep 1, 2019 Accepting new patients

Locations

1321 23rd St S
Ste D
Fargo, ND 58103
Phone (701) 203-8725

1131 Westrac Dr S
Ste 107
Fargo, ND 58103
Phone (701) 203-8725

1131 Westrac Dr S
Ste 100
Fargo, ND 58103
Phone (701) 203-8725

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": "1473552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560729600000",
    "number": "1992252621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 23RD ST S STE D",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581033724",
            "telephone_number": "701-203-8725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 23RD ST S STE D",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581033724",
            "telephone_number": "701-203-8725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHANK",
        "first_name": "BRITTANY",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-11",
        "last_updated": "2019-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ND",
            "license": "4949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fargo, ND

Sources for this page

Verify at the official NPI Registry.