Active NPI
Kateri Broerman
- Clinical Social Worker
- Walnut Hills, OH
National Provider Identifier
1063841088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I.1500226
- Practice address
- 1501 Madison Rd
Walnut Hills, OH 45206-1706 - Phone
- (513) 354-7000
- Fax
- (513) 354-5334
- NPI assigned
- Nov 12, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | I.1500226 | OH | Primary |
Addresses
Primary practice location
1501 Madison Rd
Walnut Hills, OH 45206-1706
Mailing address
1501 Madison Rd
Walnut Hills, OH 45206-1706
Phone (513) 354-7000
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I.1500226 | OH | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488153600000",
"number": "1063841088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 MADISON RD",
"city": "WALNUT HILLS",
"state": "OH",
"postal_code": "452061706",
"telephone_number": "513-354-7000",
"fax_number": "513-354-5334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 MADISON RD",
"city": "WALNUT HILLS",
"state": "OH",
"postal_code": "452061706",
"telephone_number": "513-354-7000",
"fax_number": "513-354-5334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROERMAN",
"first_name": "KATERI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-11-12",
"last_updated": "2017-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I.1500226",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Walnut Hills, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.