Edmond Dubreuil, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ISW6089 Issued in FL

Practice address

1427 Oakfield Dr
Brandon, FL 33511-2801

Phone

(813) 315-8648

NPI assigned

Jun 18, 2010

Sex

Male

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Community Mental Wellness Center

  • Clinical Social Worker
  • Sun City Center, FL
  • NPI 1902207145
  Authorized official Same address or phone
• Brandon Mental Health

  • Community/Behavioral Health Agency
  • Brandon, FL
  • NPI 1649421389
  NPD (past)

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

{
    "created_epoch": "1276819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276819200000",
    "number": "1144541509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5839 SUNSET FALLS DR",
            "city": "APOLLO BEACH",
            "state": "FL",
            "postal_code": "335723116",
            "telephone_number": "813-777-9777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1427 OAKFIELD DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335112801",
            "telephone_number": "813-315-8648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBREUIL",
        "first_name": "EDMOND",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-18",
        "last_updated": "2010-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "ISW6089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Cason Driver, DO
• Dsi South Tampa LLC (U.S. Renal Care South Tampa Dialysis)
• Ignacio Gustavo Duarte, MD
• Lya Dubois
• Kelsie Dubon
• Martha L Ducatel, D.M.D.
• Watson Ducatel, D.O. , M.P.H
• Emily N. Ducote, OTD, OTR/L
• Sharon Dues
• Magdala Antoine Dulcio, L.M.H.C.

• Clinical Social Worker in Brandon, FL
• Providers in Brandon, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2010; 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.