Active NPI
Erika R Bruggeman, LCSW
- Clinical Social Worker
- Greenfield, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34009092A
- Practice address
- 120 W McKenzie Rd Ste F
Greenfield, IN 46140-1072 - Phone
- (317) 468-6200
- Fax
- (317) 468-6201
- NPI assigned
- Jan 4, 2021
- Last updated
- Jan 4, 2021
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 34009092A | IN | Primary |
Addresses
Primary practice location
120 W McKenzie Rd Ste F
Greenfield, IN 46140-1072
Mailing address
1 Memorial SQ Ste 50
Greenfield, IN 46140-1357
Phone (317) 468-6257
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34009092A | IN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Physicians of Indiana Inc | Current | Accepting new patients | |
| Community Physicians of Indiana Inc | Current | Accepting new patients |
Locations
5819 Reliable Pkwy
Chicago, IL 60686
801 N State St
Ste 2000
Greenfield, IN 46140
Phone (317) 325-2727
1 Memorial Sq
Ste 50
Greenfield, IN 46140
Phone (317) 468-6257
7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444
9669 E 146th St
Ste 350
Noblesville, IN 46060
Phone (317) 621-2312
Organizations & group practices 2
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.
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- NPI 1619105244
-
dba Community Physician Network
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- Carmel, IN
- NPI 1992396337
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609718400000",
"number": "1366030611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 MEMORIAL SQ STE 50",
"city": "GREENFIELD",
"state": "IN",
"postal_code": "461401357",
"telephone_number": "317-468-6257",
"fax_number": "317-468-6268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 W MCKENZIE RD STE F",
"city": "GREENFIELD",
"state": "IN",
"postal_code": "461401072",
"telephone_number": "317-468-6200",
"fax_number": "317-468-6201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUGGEMAN",
"first_name": "ERIKA",
"middle_name": "R",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-04",
"last_updated": "2021-01-04",
"certification_date": "2021-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34009092A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenfield, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.