Karen Emily Brosius, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34002221A Issued in IN

Practice address

901 S Rogers St Ste 201
Bloomington, IN 47403-4760

Phone

(812) 360-3470

NPI assigned

Mar 2, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Karen Emily McCullough Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Karen Brosius LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bloomington, IN
  • NPI 1376174904
  NPD Authorized official

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

{
    "created_epoch": "1583107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583107200000",
    "number": "1649804311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 S ROGERS ST STE 201",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474034760",
            "telephone_number": "812-360-3470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 S ROGERS ST STE 201",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474034760",
            "telephone_number": "812-360-3470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROSIUS",
        "first_name": "KAREN",
        "middle_name": "EMILY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-02",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34002221A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "MCCULLOUGH",
            "middle_name": "EMILY",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Samantha Marie Britton, DPT
• Isaiah Broden
• Annette Therese Broderick, DPT
• Noah Bronnert
• Clifford Brooks, O.D.
• Brittany Michelle Brothers, PHD
• Aaron Paul Brown, M.A., CCC-SLP
• Alexus Christian Brown
• Allison M Brown, NP
• Andrea Alyse Brown, NP

• Clinical Social Worker in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.