Lisa Marie Bruemmer, BS HUMAN SERVICES
Individual provider Active NPI Social Worker · Farmington, MO
NPI 1164063111 · NPPES record last updated Oct 1, 2019
Key facts
- NPI
- 1164063111
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- Practice address
- 1085 Maple St
Farmington, MO 63640-1955 - Phone
- (573) 756-5353
- NPI assigned
- Oct 1, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor of Science
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Yes |
Addresses
Primary practice location
1085 Maple St
Farmington, MO 63640-1955
Mailing address
1430 Olive St Ste 400
Saint Louis, MO 63103-2303
Phone (314) 206-3700
Other providers in Farmington, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 1, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.