Joanne Brumm
Individual provider Active NPI Social Worker · Homer, NY
NPI 1194072272 · NPPES record last updated Aug 8, 2012
Key facts
- NPI
- 1194072272
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 081302 (NY)
- Practice address
- 24 Copeland Ave
Homer, NY 13077-1529 - Phone
- (607) 749-5711
- Fax
- (607) 753-3165
- NPI assigned
- Aug 8, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 081302 | NY | MD | Clinical Social Worker |
| 083340 | NY | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 081302 | NY | Yes |
Addresses
Primary practice location
24 Copeland Ave
Homer, NY 13077-1529
Mailing address
24 Copeland Ave
Homer, NY 13077-1529
Phone (607) 749-5711
Other providers in Homer, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 8, 2012. 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.