Active NPI
Allyson Bremer
- Clinical Social Worker
- Northbrook, IL
National Provider Identifier
1699195826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149016134
- Practice address
- 3000 Dundee Rd Ste 205
Northbrook, IL 60062-2432 - Phone
- (847) 525-7074
- NPI assigned
- Apr 28, 2014
- Last updated
- Dec 16, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | 149016134 | IL | Primary |
Addresses
Primary practice location
3000 Dundee Rd Ste 205
Northbrook, IL 60062-2432
Mailing address
47 Park View LN
Hawthorn Woods, IL 60047-8968
Phone (847) 525-7074
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149016134 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cutting Edge Counseling of the North Shore | Clinical | Current | Accepting new patients |
| Cutting Edge Counseling of the North Shore, NFP | Current | Accepting new patients |
Locations
3000 Dundee Rd
Ste 205
Northbrook, IL 60062
Phone (847) 306-6477
3000 Dundee Rd
Ste 418
Northbrook, IL 60062
Phone (847) 220-8838
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.
-
- Clinical Social Worker
- Northbrook, IL
- NPI 1275171654
-
- Mental Health Counselor
- Northbrook, IL
- NPI 1720762123
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576454400000",
"number": "1699195826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47 PARK VIEW LN",
"city": "HAWTHORN WOODS",
"state": "IL",
"postal_code": "600478968",
"telephone_number": "847-525-7074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 DUNDEE RD STE 205",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600622432",
"telephone_number": "847-525-7074"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREMER",
"first_name": "ALLYSON",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-04-28",
"last_updated": "2019-12-16",
"certification_date": "2019-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149016134",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northbrook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.