Individual provider Active NPI

Angela Michele Brugger, MSW, LCSW

  • Clinical Social Worker
  • Sheridan, WY
National Provider Identifier
1164744777
Registry record updated Oct 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
796 Issued in WY
Practice address
45 E Loucks St
Suite 112
Sheridan, WY 82801-6339
Phone
(307) 675-1805
Fax
(307) 675-1805
NPI assigned
Feb 23, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 796 WY Primary

Addresses

Primary practice location

45 E Loucks St
Suite 112
Sheridan, WY 82801-6339

Mailing address

45 E Loucks St
Suite 112
Sheridan, WY 82801-6339
Phone (307) 675-1805

Other identifiers 1

IdentifierTypeStateIssuer
408OtherWYSTATE LICENSURE

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

LicenseStateTypeSpecialty
796WYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Big Horn Psychological Services LC PastSince Sep 15, 2012 Accepting new patients

Organizations & group practices 1

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": "1266883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350518400000",
    "number": "1164744777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 E LOUCKS ST",
            "address_2": "SUITE 112",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828016339",
            "telephone_number": "307-675-1805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 E LOUCKS ST",
            "address_2": "SUITE 112",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828016339",
            "telephone_number": "307-675-1805",
            "fax_number": "307-675-1805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUGGER",
        "first_name": "ANGELA",
        "middle_name": "MICHELE",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-23",
        "last_updated": "2012-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WY",
            "license": "796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSURE",
            "identifier": "408",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheridan, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2012; 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.