Active NPI
Terri Ann Brewer, MSW, LCSW, ACSW
- Clinical Social Worker
- Columbus, IN
National Provider Identifier
1881994176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34001658A
- Practice address
- 12000 W. Moores Vineyard Rd
Columbus, IN 47201 - Phone
- (812) 342-2615
- Fax
- (812) 342-6811
- NPI assigned
- Nov 2, 2010
- Last updated
- Nov 2, 2010
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 34001658A | IN | Primary |
Addresses
Primary practice location
12000 W. Moores Vineyard Rd
Columbus, IN 47201
Mailing address
3034 30TH St
Columbus, IN 47203-2409
Phone (812) 342-2615
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200258690A | Medicaid | IN |
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 |
|---|---|---|---|
| 34001658A | IN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Association of Personal and Family Counselors | Past | Accepting new patients | |
| Columbus Regional Hospital | Past | 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.
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- NPI 1316013881
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- NPI 1861286676
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288656000000",
"number": "1881994176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3034 30TH ST",
"city": "COLUMBUS",
"state": "IN",
"postal_code": "472032409",
"telephone_number": "812-342-2615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12000 W. MOORES VINEYARD RD",
"city": "COLUMBUS",
"state": "IN",
"postal_code": "47201",
"telephone_number": "812-342-2615",
"fax_number": "812-342-6811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREWER",
"first_name": "TERRI",
"middle_name": "ANN",
"credential": "MSW, LCSW, ACSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-11-02",
"last_updated": "2010-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34001658A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200258690A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.