Healthcare Provider Details

I. General information

NPI: 1164735015
Provider Name (Legal Business Name): CATHERINE BUERMANN LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/21/2010
Last Update Date: 02/29/2024
Certification Date: 02/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4938 TAYWATER DELL
SARASOTA FL
34235-7010
US

IV. Provider business mailing address

4938 TAYWATER DELL
SARASOTA FL
34235-7010
US

V. Phone/Fax

Practice location:
  • Phone: 504-940-7911
  • Fax:
Mailing address:
  • Phone: 504-940-7911
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number10885
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number9486
License Number StateLA
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number44SC05475900
License Number StateNJ
# 4
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number078943-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: