Individual provider Active NPI

Catherine Ann Brummet-Peterson, LCSW-11031

  • Clinical Social Worker
  • Prescott, AZ
National Provider Identifier
1083527444
Registry record updated Sep 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-11031 Issued in AZ
Practice address
434 W Gurley St
Prescott, AZ 86301-3616
Phone
(928) 778-2531
Fax
(928) 778-2531
NPI assigned
Sep 25, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Foster Care Agency 253J00000X LCSW-11031 AZ
Clinical Social Worker 1041C0700X LCSW-11031 AZ Primary
Community/Behavioral Health Agency 251S00000X LCSW-11031 AZ

Addresses

Primary practice location

434 W Gurley St
Prescott, AZ 86301-3616

Mailing address

2755 W Love LN
Prescott, AZ 86305-8513
Phone (928) 778-2531

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1790294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790294400000",
    "number": "1083527444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2755 W LOVE LN",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863058513",
            "telephone_number": "928-778-2531",
            "fax_number": "928-778-2531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "434 W GURLEY ST",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863013616",
            "telephone_number": "928-778-2531",
            "fax_number": "928-778-2531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUMMET-PETERSON",
        "first_name": "CATHERINE",
        "middle_name": "ANN",
        "credential": "LCSW-11031",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-25",
        "last_updated": "2026-09-25",
        "certification_date": "2026-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "AZ",
            "license": "LCSW-11031",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-11031",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "LCSW-11031",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.