Individual provider Active NPI

Tammy G Delbruegge, MSW, LCSW

  • Clinical Social Worker
  • High Ridge, MO
National Provider Identifier
1821042284
Registry record updated Apr 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
005861 Issued in MO
Practice address
2745 High Ridge Blvd
Suite #13
High Ridge, MO 63049-2200
Phone
(636) 343-7460
NPI assigned
May 20, 2006
Last updated
Apr 18, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 005861 MO Primary

Addresses

Primary practice location

2745 High Ridge Blvd
Suite #13
High Ridge, MO 63049-2200

Mailing address

4404 Schumacher Rd
High Ridge, MO 63049-2818
Phone (363) 343-7460

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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

Enrollment IDStateProvider typePAC IDDetails
I20060501000350 MO Practitioner - Clinical Social Worker 4981614310 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3025 A High Ridge Blvd
High Ridge, MO 63049-2235
Phone (636) 343-7460

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005861MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Residential Psychiatric Services, Inc. Clinical PastSince Jun 12, 2012 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208476800000",
    "number": "1821042284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4404 SCHUMACHER RD",
            "city": "HIGH RIDGE",
            "state": "MO",
            "postal_code": "630492818",
            "telephone_number": "363-343-7460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2745 HIGH RIDGE BLVD",
            "address_2": "SUITE #13",
            "city": "HIGH RIDGE",
            "state": "MO",
            "postal_code": "630492200",
            "telephone_number": "636-343-7460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELBRUEGGE",
        "first_name": "TAMMY",
        "middle_name": "G",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-20",
        "last_updated": "2008-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "005861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in High Ridge, MO

Sources for this page

Verify at the official NPI Registry.