Ernest L Brawner, LCSW CAS
Individual provider Active NPI Clinical Social Worker · Creve Coeur, MO
NPI 1679659643 · NPPES record last updated Sep 11, 2018
Key facts
- NPI
- 1679659643
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- SW00372 (MO)
- Practice address
- 777 Craig Rd
Ste 130
Creve Coeur, MO 63141 - Phone
- (314) 434-6009
- Fax
- (636) 946-2980
- NPI assigned
- Oct 31, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW00372 | MO | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West County Physicians, LLC | Past |
Accepting new patients | |
| Midwest Pulmonary and Critical Care Consultants Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW00372 | MO | Yes |
Addresses
Primary practice location
777 Craig Rd
Ste 130
Creve Coeur, MO 63141
Mailing address
248 Crescent Valley Court
Valley Park, MO 63088
Phone (314) 434-6009
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 124868 | Other | MO | BCBS |
Other providers in Creve Coeur, MO
- Tonya K Bourn
- Loren Nicole Boushey
- Nancy Claire Bradley
- Gregory H Branham
- Kent D Branson
- Breathe Easy Counseling LLC
- Molly Jane Brendle-Ayala
- Aaron Michael Brewer
- Sarah Brewer
- Brinkman & Gardiner LLC
All providers in Creve Coeur, MO · Clinical Social Worker in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.