Individual provider Active NPI

Ramona Jean Bronson, LCSW

  • Clinical Social Worker
  • Lac Du Flambeau, WI
National Provider Identifier
1922287333
Registry record updated Nov 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7911.123 Issued in WI
Practice address
533 Peace Pipe Rd
Lac Du Flambeau, WI 54538-9123
Phone
(715) 588-1511
Fax
(175) 588-3903
NPI assigned
Nov 1, 2007
Last updated
Nov 6, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2012

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 7911.123 WI Primary

Addresses

Primary practice location

533 Peace Pipe Rd
Lac Du Flambeau, WI 54538-9123

Mailing address

533 Peace Pipe Rd
Lac Du Flambeau, WI 54538-9123
Phone (715) 588-1511

Other identifiers 1

IdentifierTypeStateIssuer
1922287333MedicaidWI

Other names 1

  • Ramona Jean Weitzel-Bronson Professional name

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

LicenseStateTypeSpecialty
7911.123WIMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1193875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352160000000",
    "number": "1922287333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 PEACE PIPE RD",
            "city": "LAC DU FLAMBEAU",
            "state": "WI",
            "postal_code": "545389123",
            "telephone_number": "715-588-1511",
            "fax_number": "175-588-3903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 PEACE PIPE RD",
            "city": "LAC DU FLAMBEAU",
            "state": "WI",
            "postal_code": "545389123",
            "telephone_number": "715-588-1511",
            "fax_number": "175-588-3903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRONSON",
        "first_name": "RAMONA",
        "middle_name": "JEAN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-01",
        "last_updated": "2012-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "7911.123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1922287333",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAMONA",
            "last_name": "WEITZEL-BRONSON",
            "middle_name": "JEAN",
            "credential": "L.C.S.W.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Lac Du Flambeau, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.