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KAYLIE BRUINSMA MSW
NPI 1356690440
Social Worker in South Bend, IN

Active since September 05, 2012PECOS Enrolled
415 E. MADISON ST, SOUTH BEND, IN 46617(574) 283-1234(574) 537-2652 Get Directions Write a Review

NPPES record last updated: September 5, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kaylie Bruinsma Msw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAYLIE BRUINSMA MSW (NPI 1356690440) is an individual social worker in South Bend, Indiana and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356690440
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameKAYLIE BRUINSMACredential: MSW
Location Address415 E. MADISON STSouth Bend, IN 46617-2322
Mailing AddressPo Box 809Goshen, IN 46527-0809 · (574) 533-1234 · Fax (574) 537-2652
Phone(574) 283-1234
Fax(574) 537-2652
Sole ProprietorYes
Enumeration DateSeptember 5, 2012
✔ NPI 1356690440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
415 E. MADISON ST, South Bend, IN 46617
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Other Names 1

Former Name (1)Kaylie Hunter Msw

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kaylie Bruinsma Msw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kaylie Bruinsma's NPI number?

The NPI number for Kaylie Bruinsma is 1356690440. It was assigned to this individual provider in the NPPES registry on September 5, 2012. The provider is also known as Kaylie Hunter Msw.

Where is Kaylie Bruinsma located?

Kaylie Bruinsma practices at 415 E. Madison St, South Bend, IN 46617. The listed phone number is (574) 283-1234.

What is Kaylie Bruinsma's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Kaylie Bruinsma enrolled in Medicare?

Yes. Kaylie Bruinsma is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kaylie Bruinsma was last updated on September 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.