Individual provider Active NPI

Brittany Ann Thammavongkeo, LCSW, CAC

  • Social Worker
  • Sioux Falls, SD
National Provider Identifier
1992406011
Registry record updated Mar 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6322 Issued in SD
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

Updated by the provider on Mar 15, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230419002772 SD Practitioner - Clinical Social Worker 9638534936 Reassigns benefits to 3 organizations

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
Behavior Management Systems IncGroup PAC ID 3375539356, 17 clinicians
Turnwell Mental Health of South Dakota, PCGroup PAC ID 0648712927, 30 clinicians
City of Sioux FallsGroup PAC ID 7810943859, 21 clinicians

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

LicenseStateTypeSpecialty
14091672SDMDAddiction (Substance Use Disorder) Counselor
6322SDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
City of Sioux Falls CurrentSince Mar 1, 2023 Accepting new patients
City of Sioux Falls CurrentSince Mar 1, 2023 Accepting new patients
Behavior Management Systems, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Turnwell Mental Health of South Dakota, PC Social Worker CurrentSince Mar 1, 2026 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.

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

Verify at the official NPI Registry.