Active NPI
Laura Ann Bambrough, MSW, APSW
- Social Worker
- Jefferson, WI
National Provider Identifier
1124646757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 129983
- Practice address
- 1541 Annex Rd
Jefferson, WI 53549-9803 - Phone
- (920) 674-8124
- NPI assigned
- Jul 9, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 129983 | WI | Primary |
Addresses
Primary practice location
1541 Annex Rd
Jefferson, WI 53549-9803
Mailing address
3825 Monona Dr Apt 12
Monona, WI 53714-2845
Phone (608) 669-4524
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594252800000",
"number": "1124646757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3825 MONONA DR APT 12",
"city": "MONONA",
"state": "WI",
"postal_code": "537142845",
"telephone_number": "608-669-4524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1541 ANNEX RD",
"city": "JEFFERSON",
"state": "WI",
"postal_code": "535499803",
"telephone_number": "920-674-8124"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAMBROUGH",
"first_name": "LAURA",
"middle_name": "ANN",
"credential": "MSW, APSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-09",
"last_updated": "2020-07-09",
"certification_date": "2020-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WI",
"license": "129983",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jefferson, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.