Aundrea L Collebrusco, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C012764 Issued in NC

Practice address

225 E Chestnut St Ste 100
Asheville, NC 28801-2582

Phone

(828) 552-3771

Fax

(828) 319-2812

NPI assigned

Sep 19, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• The Sparc Foundation, Inc.

  • Community Health Clinic/Center
  • Asheville, NC
  • NPI 1992234660
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1505779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588636800000",
    "number": "1013436203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 E CHESTNUT ST STE 100",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288012582",
            "telephone_number": "828-552-3771",
            "fax_number": "828-319-2812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 E CHESTNUT ST STE 100",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288012582",
            "telephone_number": "828-552-3771",
            "fax_number": "828-319-2812"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "669 S Haywood St",
            "address_purpose": "LOCATION",
            "city": "Waynesville",
            "state": "NC",
            "postal_code": "287866703",
            "country_code": "US",
            "telephone_number": "828-631-3973",
            "fax_number": "828-631-9280",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1207 East St",
            "address_purpose": "LOCATION",
            "city": "Waynesville",
            "state": "NC",
            "postal_code": "287863438",
            "country_code": "US",
            "telephone_number": "828-631-3973",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLEBRUSCO",
        "first_name": "AUNDREA",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-19",
        "last_updated": "2020-05-05",
        "certification_date": "2020-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C012764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coles Counseling PLLC
• Colette Stern, MD, PA
• Coletti Lymphatic Care, LLC
• Jean M Coletti, LPT
• Candyce Taylor Collard
• Collin Testing and Psychological Services PLLC
• Brian Collin, PSYD
• Diane Lynn Collins, OTR/L
• Erin Elizabeth Collins, DO
• Evan Marc Collins

• Clinical Social Worker in Asheville, NC
• Providers in Asheville, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.