DEBRA BRUNDIDGE LSW LCDC III NPI 1215480967

NPI Information

NPI: 1215480967
Provider Name: DEBRA BRUNDIDGE, LSW, LCDC III
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
11134 LUSCHEK DR
BLUE ASH, OH
ZIP 45241
Phone: (513) 827-9273
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Debra Brundidge, LSW, LCDC III is an addiction (substance use disorder) counselor in Blue Ash, OH. Debra Brundidge, LSW, LCDC III NPI is 1215480967. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11134 LUSCHEK DR
BLUE ASH, OH
ZIP 45241-434
Phone: (513) 827-9273

The enumeration date for this NPI number is 7/29/2016 and was last updated on 7/29/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	104100000X	Social Worker		S4617	OHIO	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	041031	OHIO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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