KATHLEEN MAE BREMER (NPI# 1063061695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063061695 |
| Entity Type | Individual |
| Full Name | KATHLEEN MAE BREMER |
| Credential | LCSW-R |
| Practice Address |
96 W Gibson St Canandaigua NY 14424-1453 |
| Mailing Address |
5150 Emerson Rd Canandaigua NY 14424-8089 |
| Practice Telephone | 5853965703 |
| Practice Fax Number | 5853963938 |
| Mailing Telephone | 5852787475 |
| Mailing Fax Number | 5853963938 |
| Enumeration Date | 2019-09-06 |
| Last Update Date | 2019-09-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041S0200X |
Social Worker Specialization: School |
070027 | NY | Behavioral Health & Social Service Providers |
| Y | 251300000X | Local Education Agency (LEA) | 070027 | NY | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952540478 | Kathleen B Bremer | Counselor | 21724 Lorain Rd Ste 2, Fairview Park, OH 44126-3334 | 2009-02-05 |
| 1063741353 | Kathleen A Bremer | Pharmacist | 7802 Wurzbach Rd, San Antonio, TX 78229-4448 | 2009-12-15 |
| Street Address |
96 W GIBSON ST |
| City | CANANDAIGUA |
| State | NY |
| Zip Code | 14424-1453 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326329392 | Kimberly Ann Bussey | Speech-Language Pathologist | 96 W Gibson St, Canandaigua, NY 14424-1453 | 2011-09-06 |
| 1073096129 | Jacqui Tessena | Registered Nurse | 96 W Gibson St, Canandaigua, NY 14424-1453 | 2018-09-13 |
| 1457633463 | Ruth Vangorder | Occupational Therapist | 96 W Gibson St, Canandaigua, NY 14424-1453 | 2011-09-15 |
| 1750663647 | Deanna Dramer | Social Worker | 96 W Gibson St, Canandaigua, NY 14424-1453 | 2011-09-15 |
| 1639451883 | Christine Ann D'amato | Physical Therapist | 96 W Gibson St, Canandaigua, NY 14424-1453 | 2011-09-14 |
| 1609158823 | Jennifer Ann Kondolf-duba | Occupational Therapist | 96 W Gibson St, Canandaigua, NY 14424-1453 | 2011-09-14 |
| 1891076576 | Renee Eileen Carbary | Speech-Language Pathologist | 96 W Gibson St, Canandaigua, NY 14424-1453 | 2011-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730725029 | Stefanie Ann Hook | Nurse Practitioner | 395 West Street, Suite 101, Canandaigua, NY 14424 | 2019-11-21 |
| 1285120618 | Mary Kathleen Woodruff | Counselor | 163 Gibson Street, Canandaigua, NY 14424 | 2018-07-09 |
| 1699260612 | Victoria Record | Nurse Practitioner | 3325 Marvin Sands Dr, Canandaigua, NY 14424 | 2018-06-22 |
| 1649767443 | Liana Irene Schenk | Counselor | 5297 Parkside Drive, Building 400, Suite 408, Canandaigua, NY 14424 | 2018-04-17 |
| 1225534019 | Brook Slaby | Counselor | 5297 Parkside Dr Building 400 Office 411, Canandaigua, NY 14424 | 2018-04-02 |
| 1154839710 | Madasyn Leigh Smith | Physical Therapist | 229 Parrish St Ste 220, Canandaigua, NY 14424 | 2018-01-17 |
| 1295259992 | Melissa Ann Frarey | Licensed Practical Nurse | 4998 Wyffels Road, Canandaigua, NY 14424 | 2017-08-03 |
| 1235674599 | Wendy Williams | Early Intervention Provider Agency | 5145 North Bloomfiled Road, Canandaigua, NY 14424 | 2016-12-22 |
| 1326418252 | Mary Christine Casella | Registered Nurse | 90 West Gibson Street, Canandaigua, NY 14424 | 2015-10-05 |
| 1417351453 | Holly Jean Jackson | Licensed Practical Nurse | 5a Lafayette Avenue, Canandaigua, NY 14424 | 2014-10-20 |
| Find all providers in zip 14424 | ||||
| Taxonomy Code | 251300000X |
| Grouping | Agencies |
| Classification | Local Education Agency (LEA) |
| The term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 - 21 in a state, city, county, township, school district, or other political subdivision including a combination of school districts or counties recognized in a State as an administrative agency for its public schools. An LEA may provide, or employ professional who provide, services to children included in the Individuals with Disabilities Education Act (IDEA), such services may include, but are not limited to, such medical services as physical, occupational, and speech therapy. |
| Notes: Source: Portions of IDEA Regulations Part B (34 CFR Part 300.18, Assistance to States for the Education of Children with Disabilities) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366594889 | Canandaigua City School District | Local Education Agency (LEA) | 143 N Pearl St, Canandaigua, NY 14424-1430 | 2007-01-17 |
| 1295890457 | Ontario County Early Intervention | Local Education Agency (LEA) | 3019 County Complex Drive, Canandaigua, NY 14424-9505 | 2006-12-27 |
| 1285799445 | Ontario County Preschool | Local Education Agency (LEA) | 3019 County Complex Dr, Canandaigua, NY 14424-9505 | 2006-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528666161 | Jenice Nicolette Gill-richardson | Local Education Agency (LEA) | 33 Elizabeth St, Staten Island, NY 10310-1933 | 2020-10-15 |
| 1205440468 | Cheryl Mindi Lachant | Local Education Agency (LEA) | 8 Elizabeth Ln, New Windsor, NY 12553-7202 | 2020-09-04 |
| 1114544228 | Rina Veras | Local Education Agency (LEA) | 2156 Cruger Ave Apt 5a, Bronx, NY 10462-1623 | 2020-07-06 |
| 1588288120 | You Can Thrive Foundation | Local Education Agency (LEA) | 535 W 23rd St Apt S8r, New York, NY 10011-1124 | 2020-05-29 |
| 1689207425 | Westchester Independent Living Center | Local Education Agency (LEA) | 1441 Route 22 Ste 204, Brewster, NY 10509-4358 | 2020-02-20 |
| 1710529201 | Marcia Joan Meshel | Local Education Agency (LEA) | 5809 246th Cres, Douglaston, NY 11362-2053 | 2019-10-16 |
| 1770130163 | Ching Ha Jenny Wu | Local Education Agency (LEA) | 6811 15th Ave, Brooklyn, NY 11219-6310 | 2019-08-21 |
| 1437704418 | Boquet Valley Central School | Local Education Agency (LEA) | 25 Sisco St, Westport, NY 12993 | 2019-08-06 |
| 1124672993 | Josh Pesin | Local Education Agency (LEA) | 239 Bay 34th St Apt 1e, Brooklyn, NY 11214-5896 | 2019-07-30 |
| 1649738261 | Innovative Lifestyle Solutions | Local Education Agency (LEA) | 2013 Chestnut St, North Baldwin, NY 11510-2539 | 2019-03-04 |
| Find all providers with the same taxonomy | ||||
| City | CANANDAIGUA |
| Zip Code | 14424 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.