Individual provider Active NPI

Elizabeth Ann Bruemmer, MSW, LCSW

  • Social Worker
  • Owensville, MO
National Provider Identifier
1326399429
Registry record updated Oct 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
2014043837 Issued in MO
Practice address
402 E Lincoln Ave
Owensville, MO 65066-1445
Phone
(573) 505-8033
NPI assigned
Sep 28, 2012
Last updated
Oct 2, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.