Individual provider Active NPI

Brittany Chestnut, LCSW

  • Clinical Social Worker
  • Richardson, TX
National Provider Identifier
1992419956
Registry record updated Jan 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
68590 Issued in TX
Practice address
1013 Bridle Dr
Richardson, TX 75081-2510
Phone
(316) 201-7262
NPI assigned
Jan 12, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2021026504 MO
Clinical Social Worker 1041C0700X 68590 TX Primary

Addresses

Primary practice location

1013 Bridle Dr
Richardson, TX 75081-2510

Mailing address

1013 Bridle Dr
Richardson, TX 75081-2510
Phone (316) 201-7262

Other names 1

  • Brittany Sylvester Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230426000725 MA Practitioner - Clinical Social Worker 2365807336 Reassigns benefits to 1 organization
I20240917003030 MI Practitioner - Clinical Social Worker 2365807336 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northeast Michigan Community Mental Health AuthorityGroup PAC ID 2264498005, 14 clinicians

Practice addresses (Care Compare)

156 N 4TH St
Rogers City, MI 49779-1619
Phone (989) 734-7223

400 Johnson St
Alpena, MI 49707-1434
Phone (989) 356-2161

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2021026504MOMDClinical Social Worker
68590TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Michigan Community Mental Health Authority CurrentSince Jul 1, 2024 Accepting new patients
Brookline Community Mental Health Center Inc. CurrentSince Mar 27, 2023 Accepting new patients
Northeast Michigan Community Mental Health Authority Past Accepting new patients

Locations

43 Garrison Rd
Brookline, MA 02445
Phone (617) 277-8107

400 Johnson St
Alpena, MI 49707
Phone (989) 354-2515

156 N 4th St
Rogers City, MI 49779
Phone (989) 734-7223

Organizations & group practices 3

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": "1673481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1992419956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 BRIDLE DR",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750812510",
            "telephone_number": "316-201-7262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 BRIDLE DR",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750812510",
            "telephone_number": "316-201-7262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHESTNUT",
        "first_name": "BRITTANY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-12",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2021026504",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "68590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRITTANY",
            "last_name": "SYLVESTER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Richardson, TX

Sources for this page

Verify at the official NPI Registry.