MARY C BRUELL


Address: Dept of Psychiatry, 221 Ne Glen Oak 7 West, Peoria, IL 61636-0001
Phone: 3096718222

MARY C BRUELL (NPI# 1659345007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659345007
Entity Type Individual
Full Name MARY C BRUELL
Other Name CHRIS BRUELL
Credential LCSW
Practice Address Dept of Psychiatry
221 Ne Glen Oak 7 West
Peoria
IL 61636-0001
Mailing Address 1 Illini Dr
Peoria
IL 61605-2576
Practice Telephone 3096718222
Mailing Telephone 3096718503
Enumeration Date 2006-02-14
Last Update Date 2009-11-25
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
149008927 IL Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
IL BCBS 07215036 01

Office Location

Street Address DEPT OF PSYCHIATRY
221 NE GLEN OAK 7 WEST
City PEORIA
State IL
Zip Code 61636-0001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1508830951 Peter Alahi Psychiatry & Neurology Dept of Psychiatry, 221 Ne Glen Oak 7 West, Peoria, IL 61636-0001 2006-02-14
1285608661 Tim Bruce Psychiatry & Neurology Dept of Psychiatry, 221 Ne Glen Oak 7 West, Peoria, IL 61636-0001 2006-02-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962767376 Aman Deep Singh Psychiatry & Neurology 221 Ne Glen Oak Ave. 7 West, Dept. of Psych. and Behavior Health., Peoria, IL 61636 2012-07-11
1932490075 Christine Ann Wigginton Radiology 221 Ne Glen Oak Ave Dept Of, Peoria, IL 61636 2011-04-24
1154856607 Shubhada Reddy Psychiatry & Neurology 221 Ne Glen Oak Ave, Peoria, IL 61636 2017-04-21
1649657685 Nicholas Grieco Internal Medicine 221 Ne Glen Oak Ave, Peoria, IL 61636 2015-04-29
1659703759 Dhaval Save Internal Medicine 221 Ne Glen Oak Ave, Peoria, IL 61636 2013-07-31
1164474755 Methodist Medical Center of Illinois General Acute Care Hospital 221 Ne Glen Oak Ave, Peoria, IL 61636 2006-05-16
1871560623 Minna Jinn O'leary Psychiatry & Neurology 221 Ne Glen Oak Ave, Peoria, IL 61636 2006-03-01
1568901544 Stephanie Ann Sullivan Nurse Anesthetist, Certified Registered Unity Point Health Methodist, 221 Ne Glen Oak Avenue, Peoria, IL 61636-0001 2017-02-23
1073066155 Caroline Vanaman Counselor 221 Ne Glen Oak Ave # 7w, Peoria, IL 61636-0001 2016-07-26
1497141758 Amber Hemminger Registered Nurse 200 Ne Glen Oak Ave, Peoria, IL 61636-0001 2015-04-13
Find all providers in zip 61636

Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447857305 Kelsey Hardy Social Worker 306 Pecan St, Peoria, IL 61602-1662 2020-10-05
1821608985 Jozie Allen Social Worker 1001 Main St Ste 107, Peoria, IL 61606-1907 2020-08-04
1811533276 Portia Elizabeth Adams Social Worker 712 E War Memorial Dr, Peoria, IL 61616-7548 2019-11-20
1548818511 Christine Svoboda Social Worker 6919 N Knoxville Ave Ste 100 and 202, Peoria, IL 61614 2019-09-03
1205498573 Leith Elan Bucher Social Worker 1801 W Gardenia Dr Apt 13312, Peoria, IL 61615-7098 2019-07-08
1568934107 Earthwalk Wellness Group, LLC Social Worker 14050 North 83rd Avenue, Suite 290, Peoria, AZ 85381 2018-12-20
1568934164 Venus E Evans-winters Social Worker 4507 N Sterling Ave Ste 201, Peoria, IL 61615-3861 2018-12-19
1700301058 Lisa Gail Childers Social Worker 508 W Timber Ridge Dr, Peoria, IL 61615-2057 2017-08-08
1538608690 Phoenix Wellness, LLC Social Worker 2020 W War Memorial Dr, Ste 304, Peoria, IL 61614-6754 2017-02-21
1861937955 Angela Gilles Social Worker 6919 N Knoxville Ave Ste 100, Peoria, IL 61614 2016-12-27
Find all providers in PEORIA

Competitor

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City PEORIA
Zip Code 61636

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Dataset Information

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.

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