Mary Catherine Brucker, LSCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2351 Issued in KS

Practice address

508 Cherokee St
Leavenworth, KS 66048-2626

Phone

(913) 775-3663

Fax

(913) 351-3797

NPI assigned

May 8, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1962615336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31821 159TH ST",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "660486470",
            "telephone_number": "913-775-3663",
            "fax_number": "913-351-3797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 CHEROKEE ST",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "660482626",
            "telephone_number": "913-775-3663",
            "fax_number": "913-351-3797"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 E Midland Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Woodland Park",
            "state": "CO",
            "postal_code": "808633138",
            "country_code": "US",
            "telephone_number": "913-775-3663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUCKER",
        "first_name": "MARY",
        "middle_name": "CATHERINE",
        "name_prefix": "Ms.",
        "credential": "LSCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-08",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09931602",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "2351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Addy Jane Brown, M.S. CCC-SLP
• Elizabeth Ruth Brown, LSCSW
• Jadah Brown
• Lori Anne Brown, LSCSW
• Toby Allen Brown, RPH
• Dennis Bryan, RN
• Deborah Bryant
• Kelly Elaine Bryden, APRN
• Kevin Buchwitz
• Danita Gail Buckingham, RN

• Clinical Social Worker in Leavenworth, KS
• Providers in Leavenworth, KS by specialty
• Clinical Social Worker in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; 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.