Individual provider Active NPI

Alice H Bruhns, LMSW

  • Social Worker
  • Queensbury, NY
National Provider Identifier
1124606454
Registry record updated Mar 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
375 Bay Rd Ste 204
Queensbury, NY 12804-3005
Phone
(518) 952-9032
NPI assigned
Mar 30, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

375 Bay Rd Ste 204
Queensbury, NY 12804-3005

Mailing address

375 Bay Rd Ste 204
Queensbury, NY 12804-3005
Phone (518) 952-9032

Other practice location 1

1689 Ridge Rd
Queensbury, NY 12804-6955
Phone (518) 952-9032 ext. 1107

Other identifiers 1

IdentifierTypeStateIssuer
1356819221MedicaidNY

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address a.bruhns@northernrivers.org Direct
Direct Messaging Address a.bruhns@northernrivers.org Direct
Direct Messaging Address a.bruhns@northernrivers.org Direct

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

Practice roles

OrganizationSpecialtyStatusNew patients
Parsons Child and Family Center Past Accepting new patients
Parsons Child and Family Center PastSince Feb 20, 2018 Accepting new patients

Organizations & group practices 2

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": "1617062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1124606454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 BAY RD STE 204",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128043005",
            "telephone_number": "518-952-9032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 BAY RD STE 204",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128043005",
            "telephone_number": "518-952-9032"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1689 Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Queensbury",
            "state": "NY",
            "postal_code": "128046955",
            "country_code": "US",
            "telephone_number": "518-952-9032 x1107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUHNS",
        "first_name": "ALICE",
        "middle_name": "H",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-30",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1356819221",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "a.bruhns@northernrivers.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "375 Bay Rd Ste 204",
            "city": "Queensbury",
            "state": "NY",
            "country_code": "US",
            "postal_code": "128043005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "a.bruhns@northernrivers.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "375 Bay Rd Ste 204",
            "city": "Queensbury",
            "state": "NY",
            "country_code": "US",
            "postal_code": "128043005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "a.bruhns@northernrivers.org",
            "affiliation": "N",
            "endpointDescription": "e-mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "information",
            "address_1": "375 Bay Rd Ste 204",
            "city": "Queensbury",
            "state": "NY",
            "country_code": "US",
            "postal_code": "128043005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Queensbury, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; 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.