Roxanne Brunsman LCSW LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34003970A Issued in IN

Legal business name

ROXANNE BRUNSMAN LCSW LLC

Practice address

6524 Carrollton Ave
Indianapolis, IN 46220-1617

Phone

(765) 620-4628

Fax

(765) 683-9583

NPI assigned

May 27, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Roxanne Deneff Brunsman, LCSWNPI 1740212505

Title

Psychotherapist

Phone

(765) 683-9583

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Roxanne D Brunsman, MSW,LCSW

  • Clinical Social Worker
  • Indianapolis, IN
  • NPI 1740212505
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1306454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306454400000",
    "number": "1760775480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6173 N 100 W",
            "city": "ALEXANDRIA",
            "state": "IN",
            "postal_code": "460018219",
            "telephone_number": "765-683-9583",
            "fax_number": "765-683-9583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6524 CARROLLTON AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462201617",
            "telephone_number": "765-620-4628",
            "fax_number": "765-683-9583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROXANNE BRUNSMAN LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-27",
        "last_updated": "2011-05-27",
        "status": "A",
        "authorized_official_last_name": "BRUNSMAN",
        "authorized_official_first_name": "ROXANNE",
        "authorized_official_middle_name": "DENEFF",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "765-683-9583",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34003970A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heidi Rowles
• Jacqueline S Rowles, CRNA, ANP-BC
• Cameron Rowley
• Richard Ty Rowlison, PHD, HSPP
• Kay Elizabeth Rowls, RN
• Stephanie Grace Nicdao Roxas
• Andrew James Roy
• Bryan J Roy, DDS, MSD, PC
• Elizabeth Danielle Roy
• Joshua Roy

• Clinical Social Worker in Indianapolis, IN
• Providers in Indianapolis, 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 May 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.