Richard C. Bruggman, LCSW
Individual provider Active NPI Clinical Social Worker · Louisville, KY
NPI 1306274279 · NPPES record last updated Oct 31, 2013
Key facts
- NPI
- 1306274279
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Practice address
- 4906 S Watterson TRL
Louisville, KY 40291-1729 - Phone
- (502) 424-2562
- NPI assigned
- Oct 31, 2013
- Sex
- Male
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | KY | Yes |
Addresses
Primary practice location
4906 S Watterson TRL
Louisville, KY 40291-1729
Mailing address
4906 S Watterson TRL
Louisville, KY 40291-1729
Phone (502) 424-2562
Other providers in Louisville, KY
- David Martin Bruenderman
- Elizabeth Holt Bruenderman
- Joseph Kurt Bruenderman
- Paula L Bruggensmith
- Patricia Cummings Bruggman
- Kimberley Brumleve
- Joshua Thomas Brummett
- Jacob Thomas Brunemann
- Rebecca Bruner
- Ryne B Bruner
All providers in Louisville, KY · Clinical Social Worker in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 31, 2013. 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.