Active NPI
Elizabeth Ann Bruemmer, MSW, LCSW
- Social Worker
- Owensville, MO
National Provider Identifier
1326399429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 2014043837
- Practice address
- 402 E Lincoln Ave
Owensville, MO 65066-1445 - Phone
- (573) 505-8033
- NPI assigned
- Sep 28, 2012
- Last updated
- Oct 2, 2019
- Sex
- Female
- Sole proprietor
- No
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 | 2014043837 | MO | Primary |
Addresses
Primary practice location
402 E Lincoln Ave
Owensville, MO 65066-1445
Mailing address
PO Box 536
Owensville, MO 65066-0536
Phone (573) 505-8033
Other practice location 1
3336 Highway 19
Owensville, MO 65066-2433
Phone (573) 505-8033
Other practice location 2
227 Metro Dr
Jefferson City, MO 65109-1134
Phone (573) 634-4591
Other practice location 3
3340 Highway 19
Owensville, MO 65066-2433
Phone (573) 505-8033
Other practice location 4
600 W Fitzgerald Ave
Gerald, MO 63037-2245
Phone (573) 505-8033
Other practice location 5
2000 Dutchmen Drive
Owensville, MO 65066-6506
Phone (573) 505-8033
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569974400000",
"number": "1326399429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 536",
"city": "OWENSVILLE",
"state": "MO",
"postal_code": "650660536",
"telephone_number": "573-505-8033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "402 E LINCOLN AVE",
"city": "OWENSVILLE",
"state": "MO",
"postal_code": "650661445",
"telephone_number": "573-505-8033"
}
],
"practiceLocations": [
{
"address_1": "3336 Highway 19",
"address_purpose": "LOCATION",
"city": "Owensville",
"state": "MO",
"postal_code": "650662433",
"country_code": "US",
"telephone_number": "573-505-8033",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "227 Metro Dr",
"address_purpose": "LOCATION",
"city": "Jefferson City",
"state": "MO",
"postal_code": "651091134",
"country_code": "US",
"telephone_number": "573-634-4591",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3340 Highway 19",
"address_purpose": "LOCATION",
"city": "Owensville",
"state": "MO",
"postal_code": "650662433",
"country_code": "US",
"telephone_number": "573-505-8033",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "600 W Fitzgerald Ave",
"address_purpose": "LOCATION",
"city": "Gerald",
"state": "MO",
"postal_code": "630372245",
"country_code": "US",
"telephone_number": "573-505-8033",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2000 Dutchmen Drive",
"address_purpose": "LOCATION",
"city": "Owensville",
"state": "MO",
"postal_code": "650666506",
"country_code": "US",
"telephone_number": "573-505-8033",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRUEMMER",
"first_name": "ELIZABETH",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "MSW, LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-28",
"last_updated": "2019-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MO",
"license": "2014043837",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Owensville, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.