Active NPI
Brittany Ann Thammavongkeo, LCSW, CAC
- Social Worker
- Sioux Falls, SD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6322
- Practice address
- 521 N Main Ave
Sioux Falls, SD 57104-5948 - Phone
- (605) 367-8793
- NPI assigned
- Mar 15, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 14091672 | SD | |
| Social Worker | 104100000X | 6322 | SD | Primary |
Addresses
Primary practice location
521 N Main Ave
Sioux Falls, SD 57104-5948
Mailing address
4308 S Arway Dr
Sioux Falls, SD 57106-3131
Other practice location 1
4308 S Arway Dr
Sioux Falls, SD 57106-3131
Phone (605) 573-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
350 Elk St
Rapid City, SD 57701-7351
Phone (605) 343-7262
4308 S Arway Dr
Sioux Falls, SD 57106-3131
Phone (605) 573-2000
521 N Main Ave
Suite 100
Sioux Falls, SD 57104-5948
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14091672 | SD | MD | Addiction (Substance Use Disorder) Counselor |
| 6322 | SD | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City of Sioux Falls | Current | Accepting new patients | |
| City of Sioux Falls | Current | Accepting new patients | |
| Behavior Management Systems, Inc. | Current | Accepting new patients | |
| Turnwell Mental Health of South Dakota, PC | Social Worker | Current | Accepting new patients |
Locations
350 Elk St
Rapid City, SD 57701
Phone (605) 343-0650
521 N Main Ave
Ste 100
Sioux Falls, SD 57104
Phone (605) 367-8029
4308 S Arway Dr
Sioux Falls, SD 57106
Phone (507) 220-1585
623 Dahl Rd
Spearfish, SD 57783
Phone (605) 642-2777
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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Rapid City, SD
- NPI 1295878122
-
- Federally Qualified Health Center (FQHC)
- Sioux Falls, SD
- NPI 1932295888
-
- Psychiatry Physician
- Sioux Falls, SD
- NPI 1720850183
Social Worker
-
- Federally Qualified Health Center (FQHC)
- Sioux Falls, SD
- NPI 1508103243
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678838400000",
"number": "1992406011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4308 S ARWAY DR",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571063131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "521 N MAIN AVE",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571045948",
"telephone_number": "605-367-8793"
}
],
"practiceLocations": [
{
"address_1": "4308 S Arway Dr",
"address_purpose": "LOCATION",
"city": "Sioux Falls",
"state": "SD",
"postal_code": "571063131",
"country_code": "US",
"telephone_number": "605-573-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THAMMAVONGKEO",
"first_name": "BRITTANY",
"middle_name": "ANN",
"credential": "LCSW, CAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-15",
"last_updated": "2023-03-15",
"certification_date": "2023-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "SD",
"license": "14091672",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "SD",
"license": "6322",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sioux Falls, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.