Individual provider Active NPI

Desarae S Brymer, LCSW

  • Clinical Social Worker
  • Louisville, KY
National Provider Identifier
1306420401
Registry record updated Feb 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
255643 Issued in KY
Practice address
200 E Chestnut St
Louisville, KY 40202-1831
Phone
(502) 588-0800
NPI assigned
May 6, 2021
Last updated
Feb 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2025

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 255643 KY Primary

Addresses

Primary practice location

200 E Chestnut St
Louisville, KY 40202-1831

Mailing address

PO Box 776879
Chicago, IL 60677-6879
Phone (502) 588-9490

Other practice location 1

9702 Stonestreet Rd
Louisville, KY 40272-6808
Phone (502) 589-8920

Other identifiers 1

IdentifierTypeStateIssuer
7100737130MedicaidKY

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address desarae.brymer@nortonhealthcare.org
Direct Messaging Address dbrymer245115@direct.nortonhealthcare.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210514002129 KY Practitioner - Clinical Social Worker 5799194163 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
255643KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Norton Children's Medical Group, LLC Social Worker Current Accepting new patients
Norton Children's Medical Group, LLC CurrentSince Nov 1, 2022 Accepting new patients
Seven Counties Services, Inc. Social Worker CurrentSince May 7, 2021 Accepting new patients
Norton Children's Medical Group, LLC CurrentSince Nov 1, 2022 Accepting new patients

Locations

10401 Linn Station Rd
Louisville, KY 40223

10401 Linn Station Rd
Ste 100
Louisville, KY 40223

200 E Chestnut St
Louisville, KY 40202
Phone (502) 446-8000

231 E Chestnut St
Louisville, KY 40202
Phone (502) 852-8500

530 S Jackson St
Louisville, KY 40202
Phone (502) 562-3000

601 S Floyd St
Ste 604
Louisville, KY 40202
Phone (502) 559-1670

9702 Stonestreet Rd
Louisville, KY 40272
Phone (502) 588-0610

Interoperability endpoints

  • Direct secure messaging: dbrymer245115@direct.nortonhealthcare.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1620259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1306420401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776879",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776879",
            "telephone_number": "502-588-9490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E CHESTNUT ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021831",
            "telephone_number": "502-588-0800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9702 Stonestreet Rd",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402726808",
            "country_code": "US",
            "telephone_number": "502-589-8920",
            "fax_number": "502-447-1967",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRYMER",
        "first_name": "DESARAE",
        "middle_name": "S",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-06",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "255643",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100737130",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "desarae.brymer@nortonhealthcare.org",
            "affiliation": "N",
            "address_1": "200 E Chestnut St",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402021831",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dbrymer245115@direct.nortonhealthcare.org",
            "affiliation": "N",
            "address_1": "200 E Chestnut St",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402021831",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.