MRS. KRISTEN LEIGH BROSCH LCPC - NPI 1821511270 - Social Worker in West Peoria, IL

Q: What is Kristen Brosch's NPI number?

The NPI number for Kristen Brosch is 1821511270. It was assigned to this individual provider in the NPPES registry on July 18, 2017.

Q: What is Kristen Brosch's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kristen Brosch was last updated on March 11, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Mrs. Kristen Leigh Brosch Lcpc NPPES

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

MRS. KRISTEN LEIGH BROSCH LCPC (NPI 1821511270) is an individual social worker in West Peoria, Illinois, licensed in Wisconsin (5933-125) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821511270

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameMRS. KRISTEN LEIGH BROSCHCredential: LCPC

Location Address3000 W ROHMANN AVEWest Peoria, IL 61604-4842

Mailing Address3000 W Rohmann AveWest Peoria, IL 61604-4842 · (309) 671-0300

Phone(309) 671-0300

Sole ProprietorNo

Enumeration DateJuly 18, 2017

Last NPPES UpdateMarch 11, 20192 updates tracked since enumeration

✔ NPI 1821511270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in WI · 5933-125

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.

3000 W ROHMANN AVE, West Peoria, IL 61604

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Kristen Leigh Brosch Lcpc 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.