Active NPI
Britney Shale Bruce, LISW-S
- Social Worker
- Cincinnati, OH
National Provider Identifier
1104343136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- I.2203667
- Practice address
- 4179 Ebenezer Rd
Cincinnati, OH 45248-1505 - Phone
- (513) 574-1205
- Fax
- (513) 574-1206
- NPI assigned
- Aug 30, 2017
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | S.1701041 | OH | |
| Social Worker | 104100000X | I.2203667 | OH | Primary |
Addresses
Primary practice location
4179 Ebenezer Rd
Cincinnati, OH 45248-1505
Mailing address
4179 Ebenezer Rd
Cincinnati, OH 45248-1505
Phone (513) 574-1205
Other names 1
- Britney Shale Alexander
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S.1701041 | OH | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Hospital Medical Center | Social Worker | Current | Accepting new patients |
Locations
3341 Solutions Ctr
Chicago, IL 60677
3333 Burnet Ave
Cincinnati, OH 45229
Phone (513) 636-4200
3333 Burnet Ave
#5021
Cincinnati, OH 45229
Phone (513) 636-4225
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691539200000",
"number": "1104343136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4179 EBENEZER RD",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452481505",
"telephone_number": "513-574-1205",
"fax_number": "513-574-1206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4179 EBENEZER RD",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452481505",
"telephone_number": "513-574-1205",
"fax_number": "513-574-1206"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUCE",
"first_name": "BRITNEY",
"middle_name": "SHALE",
"name_prefix": "Mrs.",
"credential": "LISW-S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-30",
"last_updated": "2023-08-09",
"certification_date": "2023-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S.1701041",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "I.2203667",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BRITNEY",
"last_name": "ALEXANDER",
"middle_name": "SHALE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.