Chase Bradley Breitbach, LCSW
NPI 1730999640ActiveIndividual· Social Worker, Clinical· Fargo, ND
Social Worker, Clinical (LCSW) in Fargo, North Dakota, licensed in ND, with an NPI issued in January 2025. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1730999640 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW |
| Sole proprietor | Yes |
| NPI issued | Jan 13, 2025 |
| Last updated in NPPES | Jul 18, 2025 |
| Certified by provider | Jul 18, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 5933 | ND |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (ND) |
|---|
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