Morgan Lee Brunsting, LICSW

Individual provider Active NPI Clinical Social Worker · Offutt Afb, NE

NPI 1104283696 · NPPES record last updated Dec 9, 2022

Key facts

NPI
1104283696
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
2189 (NE)
Practice address
2501 Capehart Rd
Offutt Afb, NE 68113-1043
Phone
(402) 232-2273
NPI assigned
Jan 28, 2016
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2189NEMDFamily Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2189 NE Yes

Addresses

Primary practice location

2501 Capehart Rd
Offutt Afb, NE 68113-1043

Mailing address

2501 Capehart Rd
Offutt Afb, NE 68113-1043

Other identifiers

IdentifierTypeStateIssuer
470398819MedicaidNE

Other providers in Offutt Afb, NE

All providers in Offutt Afb, NE · Clinical Social Worker in Nebraska

Sources for this page

Verify at the official NPI Registry.