Active NPI
Kathleen Mae Bremer, LCSW-R
- Local Education Agency (LEA)
- Canandaigua, NY
National Provider Identifier
1063061695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Local Education Agency (LEA)
- License
- 070027
- Practice address
- 96 W Gibson St
Canandaigua, NY 14424-1453 - Phone
- (585) 396-5703
- Fax
- (585) 396-3938
- NPI assigned
- Sep 6, 2019
- Last updated
- Sep 6, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | 070027 | NY | |
| Local Education Agency (LEA) | 251300000X | 070027 | NY | Primary |
Addresses
Primary practice location
96 W Gibson St
Canandaigua, NY 14424-1453
Mailing address
5150 Emerson Rd
Canandaigua, NY 14424-8089
Phone (585) 278-7475
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070027 | NY | MD | Local Education Agency (LEA) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567728000000",
"number": "1063061695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5150 EMERSON RD",
"city": "CANANDAIGUA",
"state": "NY",
"postal_code": "144248089",
"telephone_number": "585-278-7475",
"fax_number": "585-396-3938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "96 W GIBSON ST",
"city": "CANANDAIGUA",
"state": "NY",
"postal_code": "144241453",
"telephone_number": "585-396-5703",
"fax_number": "585-396-3938"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREMER",
"first_name": "KATHLEEN",
"middle_name": "MAE",
"credential": "LCSW-R",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-06",
"last_updated": "2019-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "NY",
"license": "070027",
"primary": false
},
{
"code": "251300000X",
"taxonomy_group": "",
"desc": "Local Education Agency (LEA)",
"state": "NY",
"license": "070027",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canandaigua, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.