Active NPI
Katheryn Brauckmann, LCSW
- Social Worker
- King of Prussia, PA
National Provider Identifier
1881100196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- SW132327
- Practice address
- 601 S Henderson Rd Ste 203
King of Prussia, PA 19406-4230 - Phone
- (610) 992-0303
- NPI assigned
- Dec 21, 2017
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | SW132327 | PA | Primary |
Addresses
Primary practice location
601 S Henderson Rd Ste 203
King of Prussia, PA 19406-4230
Mailing address
929 W Main St Apt 2
Norristown, PA 19401-5539
Phone (443) 904-7174
Other practice location 1
100 Green Ln Ste 2
Bristol, PA 19007-5609
Phone (267) 878-0240
Other names 1
- Katheryn Bauman
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW132327 | PA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Current | Accepting new patients | |
| Totum Counseling and Consulting Services LLC | Current | Accepting new patients |
Locations
601 S Henderson Rd
Ste 203
King of Prussia, PA 19406
Phone (484) 238-0038
Interoperability endpoints
- katherynbrauckmann@tdh.allscriptsdirect.net
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 and National Provider Directory roles.
-
- Clinical Social Worker
- King of Prussia, PA
- NPI 1356909907
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557014400000",
"number": "1881100196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "929 W MAIN ST APT 2",
"city": "NORRISTOWN",
"state": "PA",
"postal_code": "194015539",
"telephone_number": "443-904-7174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 S HENDERSON RD STE 203",
"city": "KING OF PRUSSIA",
"state": "PA",
"postal_code": "194064230",
"telephone_number": "610-992-0303"
}
],
"practiceLocations": [
{
"address_1": "100 Green Ln Ste 2",
"address_purpose": "LOCATION",
"city": "Bristol",
"state": "PA",
"postal_code": "190075609",
"country_code": "US",
"telephone_number": "267-878-0240",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRAUCKMANN",
"first_name": "KATHERYN",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-21",
"last_updated": "2019-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PA",
"license": "SW132327",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATHERYN",
"last_name": "BAUMAN",
"credential": "MSW LSW",
"code": "1",
"type": "Former Name"
}
]
}Other providers in King of Prussia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.