Jennifer Suzanne Bromley, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

24874 Issued in MN

Practice address

703 Thielen Dr
Saint Michael, MN 55376-9613

Phone

(763) 515-4563

Fax

(763) 497-0552

NPI assigned

Nov 9, 2015

Last updated

Jul 24, 2018By the provider in NPPES

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

Enrolled in MN

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

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Solutions Counseling Services, PLLC

  • Professional Counselor
  • Saint Michael, MN
  • NPI 1184871188

  Clinical

  Medicare reassignment NPD

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

{
    "created_epoch": "1447027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532390400000",
    "number": "1609249929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 THIELEN DR",
            "city": "SAINT MICHAEL",
            "state": "MN",
            "postal_code": "553769613",
            "telephone_number": "763-515-4563",
            "fax_number": "763-497-0552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 THIELEN DR",
            "city": "SAINT MICHAEL",
            "state": "MN",
            "postal_code": "553769613",
            "telephone_number": "763-515-4563",
            "fax_number": "763-497-0552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROMLEY",
        "first_name": "JENNIFER",
        "middle_name": "SUZANNE",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-09",
        "last_updated": "2018-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "24874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Boone Family Chiropractic and Wellness, PLC
• Jazmin Brook Borst, LICSW
• David Brandt
• Amy Marie Breen
• Andrew Briggs, PHARMD
• Dillon Leroy Browen
• Elizabeth J Brown, CMT
• Jacqueline Brown, CMT
• Kimberly Ann Brown, MPT
• Richard John Budde

• Clinical Social Worker in Saint Michael, MN
• Providers in Saint Michael, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2018; 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.

Verify at the official NPI Registry.