Provider Demographics
NPI:1447632914
Name:BROSMER, AARON (LCSW)
Entity type:Individual
Prefix:
First Name:AARON
Middle Name:
Last Name:BROSMER
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:AARON
Other - Middle Name:
Other - Last Name:STOFLETH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6511 WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47715-5158
Mailing Address - Country:US
Mailing Address - Phone:812-319-8890
Mailing Address - Fax:
Practice Address - Street 1:7144 E VIRGINIA ST STE C
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47715-9125
Practice Address - Country:US
Practice Address - Phone:812-479-1242
Practice Address - Fax:812-476-1330
Is Sole Proprietor?:No
Enumeration Date:2015-06-22
Last Update Date:2024-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker