Audrey Tingaud Bremer, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

09926628 Issued in CO

Practice address

281 Sawyer Dr Ste 100
Durango, CO 81303-3409

Phone

(970) 259-2162

NPI assigned

Jun 8, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Southwest Colorado Mental Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Dove Creek, CO
  • NPI 1699301671
  NPD

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

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592352000000",
    "number": "1477082808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 SUTTLE ST",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813038276",
            "telephone_number": "970-335-2232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "281 SAWYER DR STE 100",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813033409",
            "telephone_number": "970-259-2162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREMER",
        "first_name": "AUDREY",
        "middle_name": "TINGAUD",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-08",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "09926628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sabrina Ann Brant, OTR
• Anthony Braun
• Mark A Braunstein, DO
• Stephen Andrew Breeding, PA-C
• Jenifer Breezley, MA
• Kelly Brennan, PMHNP-BC
• Rodney Brenner, EMT
• Brian Arens Counseling LLC
• Robert B Bricca, MD
• Bridges & Belonging Therapy, PLLC

• Clinical Social Worker in Durango, CO
• Providers in Durango, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2020; 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.