Eleanor Lacy Bruin, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

09923651 Issued in CO

Practice address

360 Peak One Drive
Suite 260
Frisco, CO 80443

Phone

(303) 902-9362

NPI assigned

Aug 9, 2018

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

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

{
    "created_epoch": "1533772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533772800000",
    "number": "1093294183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2381 S ASH ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802226004",
            "telephone_number": "303-902-9362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 PEAK ONE DRIVE",
            "address_2": "SUITE 260",
            "city": "FRISCO",
            "state": "CO",
            "postal_code": "80443",
            "telephone_number": "303-902-9362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUIN",
        "first_name": "ELEANOR",
        "middle_name": "LACY",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-09",
        "last_updated": "2018-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "09923651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gretchen A Broecker, MS, RD, CDE
• Elizabeth L Brothers, MT, MA, LPC
• Sara Christian Broughton
• Shirley Browner, MD
• Elisabeth M. Brozovich, PAC
• Annette Bruns, PHARMD
• William Carl Bruns, M.D.
• Kimberly Bundy-Fazioli
• Karie Watts Burns, FNP
• Sarah Butterworth, RBT

• Clinical Social Worker in Frisco, CO
• Providers in Frisco, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2018; 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.