Active NPI
Shelie Lyn Brummett, LCSW
- Clinical Social Worker
- Seymour, IN
National Provider Identifier
1891875910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34004354A
- Practice address
- 415 S Walnut St Ste 215
Seymour, IN 47274-2993 - Phone
- (812) 523-0386
- NPI assigned
- Oct 16, 2006
- Last updated
- Jul 9, 2007
- 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 | 34004354A | IN | Primary |
Addresses
Primary practice location
415 S Walnut St Ste 215
Seymour, IN 47274-2993
Mailing address
590 Camelot Dr
Seymour, IN 47274-1922
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000292013 | Other | IN | ANTHEM |
| 2203067 | Other | IN | CIGNA |
| 25729 | Other | IN | IHN |
| 30014699603 | Other | IN | SAGAMORE |
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 |
|---|---|---|---|
| 34004354A | IN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christopher and Associates | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1891875910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "590 CAMELOT DR",
"city": "SEYMOUR",
"state": "IN",
"postal_code": "472741922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 S WALNUT ST STE 215",
"city": "SEYMOUR",
"state": "IN",
"postal_code": "472742993",
"telephone_number": "812-523-0386"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUMMETT",
"first_name": "SHELIE",
"middle_name": "LYN",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-16",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34004354A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000292013",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2203067",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IHN",
"identifier": "25729",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SAGAMORE",
"identifier": "30014699603",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Seymour, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.