Individual provider Active NPI

Chaslyn Eve-Anmarie Bruner, LCSW

  • Clinical Social Worker
  • Central City, KY
National Provider Identifier
1932828555
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
258123 Issued in KY
Practice address
222 Phillip Stone Way
Central City, KY 42330-1929
Phone
(866) 934-4611
NPI assigned
Aug 25, 2022
Last updated
Jan 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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 258123 KY Primary

Addresses

Primary practice location

222 Phillip Stone Way
Central City, KY 42330-1929

Mailing address

222 Phillip Stone Way
Central City, KY 42330-1929
Phone (866) 934-4611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20231005002118 KY Practitioner - Clinical Social Worker 0042665325 Reassigns benefits to 3 organizations
I20240524002733 IN Practitioner - Clinical Social Worker 0042665325 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
A New Start Primary Care LLCGroup PAC ID 8123362779, 10 clinicians

Practice addresses (Care Compare)

224 Phillip Stone Way
Central City, KY 42330-1929
Phone (270) 757-2202

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
258123KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
A New Start Primary Care LLC CurrentSince Aug 22, 2023 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Nov 8, 2023 Accepting new patients
A New Start II, LLC CurrentSince Aug 22, 2023 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

9465 Counselors Row
Ste 200
Indianapolis, IN 46240
Phone (463) 220-4646

222 Phillip Stone Way
Central City, KY 42330
Phone (270) 754-3494

224 Phillip Stone Way
Central City, KY 42330
Phone (270) 757-2202

312 S 4th St
Ste 700
Louisville, KY 40202
Phone (502) 628-5023

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": "1661385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1932828555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 PHILLIP STONE WAY",
            "city": "CENTRAL CITY",
            "state": "KY",
            "postal_code": "423301929",
            "telephone_number": "866-934-4611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 PHILLIP STONE WAY",
            "city": "CENTRAL CITY",
            "state": "KY",
            "postal_code": "423301929",
            "telephone_number": "866-934-4611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNER",
        "first_name": "CHASLYN",
        "middle_name": "EVE-ANMARIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-25",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "258123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Central City, KY

Sources for this page

Verify at the official NPI Registry.