Brianna Sue Stauber, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

31355 Issued in MN

Practice address

11185 Lake Blvd
Chisago City, MN 55013-9817

Phone

(651) 755-4276

Fax

(888) 972-5307

NPI assigned

Oct 24, 2024

Last updated

Mar 20, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Brianna Christensen Former name

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Counseling Kids and Adults PLLC

  • Mental Health Counselor
  • Oakdale, MN
  • NPI 1174955397
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1729728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773964800000",
    "number": "1093537755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 974",
            "city": "LINDSTROM",
            "state": "MN",
            "postal_code": "550450974",
            "telephone_number": "651-755-4276",
            "fax_number": "888-972-5307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11185 LAKE BLVD",
            "city": "CHISAGO CITY",
            "state": "MN",
            "postal_code": "550139817",
            "telephone_number": "651-755-4276",
            "fax_number": "888-972-5307"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12814 Lake Blvd",
            "address_purpose": "LOCATION",
            "city": "Lindstrom",
            "state": "MN",
            "postal_code": "550459345",
            "country_code": "US",
            "telephone_number": "651-755-4276",
            "fax_number": "888-972-5307",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6230 10th St N Ste 220",
            "address_purpose": "LOCATION",
            "city": "Oakdale",
            "state": "MN",
            "postal_code": "551286160",
            "country_code": "US",
            "telephone_number": "651-755-4276",
            "fax_number": "888-972-5307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STAUBER",
        "first_name": "BRIANNA",
        "middle_name": "SUE",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-24",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "31355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIANNA",
            "last_name": "CHRISTENSEN",
            "credential": "MSW LGSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Clinical Social Worker in Chisago City, MN
• Providers in Chisago City, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.