Individual provider Active NPI

Mary M Brauer, MSW, LCSW

  • Clinical Social Worker
  • Mentone, IN
National Provider Identifier
1902293665
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34008068A Issued in IN
Practice address
514 E Jackson St
Mentone, IN 46539-9724
Phone
(574) 301-5100
Fax
(574) 301-5200
NPI assigned
Apr 21, 2015
Last updated
May 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2024

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 34008068A IN Primary

Addresses

Primary practice location

514 E Jackson St
Mentone, IN 46539-9724

Mailing address

514 E Jackson St
Mentone, IN 46539-9724
Phone (317) 373-0671

Other names 1

  • Ms. Mary Maggie Rock Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20180508000902 IN Practitioner - Clinical Social Worker 2567726177 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34008068AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Come As You Are Counseling, LLC CurrentSince May 19, 2024 Accepting new patients
McArthur Mental Health Services PastSince Nov 1, 2018 Accepting new patients

Organizations & group practices 3

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": "1429574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1902293665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 E JACKSON ST",
            "city": "MENTONE",
            "state": "IN",
            "postal_code": "465399724",
            "telephone_number": "317-373-0671",
            "fax_number": "574-301-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 E JACKSON ST",
            "city": "MENTONE",
            "state": "IN",
            "postal_code": "465399724",
            "telephone_number": "574-301-5100",
            "fax_number": "574-301-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAUER",
        "first_name": "MARY",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-21",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34008068A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "ROCK",
            "middle_name": "MAGGIE",
            "prefix": "MS.",
            "credential": "MSW, LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mentone, IN

Sources for this page

Verify at the official NPI Registry.