Active NPI
Kelly Brewer
- Social Worker
- Grove City, OH
National Provider Identifier
1255859062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S.0023877
- Practice address
- 5665 Hoover Rd
Grove City, OH 43123-9122 - Phone
- (614) 539-6485
- NPI assigned
- Aug 31, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 | S.0023877 | OH | Primary |
Addresses
Primary practice location
5665 Hoover Rd
Grove City, OH 43123-9122
Mailing address
5665 Hoover Rd
Grove City, OH 43123-9122
Phone (614) 539-6485
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| S.0023877 | Other | OH | LICENSED SOCIAL WORKER |
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
| License | State | Type | Specialty |
|---|---|---|---|
| S.0023877 | OH | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1255859062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5665 HOOVER RD",
"city": "GROVE CITY",
"state": "OH",
"postal_code": "431239122",
"telephone_number": "614-539-6485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5665 HOOVER RD",
"city": "GROVE CITY",
"state": "OH",
"postal_code": "431239122",
"telephone_number": "614-539-6485"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREWER",
"first_name": "KELLY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-31",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S.0023877",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED SOCIAL WORKER",
"identifier": "S.0023877",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Grove City, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.