Active NPI
Kelley M Armbruster, LISW
- Clinical Social Worker
- Mason, OH
National Provider Identifier
1114023033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I-0005603
- Practice address
- 7577 Central Parke Blvd Ste 313
Mason, OH 45040-6822 - Phone
- (513) 770-0800
- Fax
- (513) 770-0888
- NPI assigned
- Sep 16, 2006
- 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-0005603 | OH | Primary |
Addresses
Primary practice location
7577 Central Parke Blvd Ste 313
Mason, OH 45040-6822
Mailing address
5451 Prescott CT
Mason, OH 45040-5633
Phone (513) 336-0614
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 |
|---|---|---|---|
| I-0005603 | OH | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1114023033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5451 PRESCOTT CT",
"city": "MASON",
"state": "OH",
"postal_code": "450405633",
"telephone_number": "513-336-0614",
"fax_number": "513-770-0888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7577 CENTRAL PARKE BLVD STE 313",
"city": "MASON",
"state": "OH",
"postal_code": "450406822",
"telephone_number": "513-770-0800",
"fax_number": "513-770-0888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARMBRUSTER",
"first_name": "KELLEY",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "LISW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I-0005603",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mason, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.