Individual provider Active NPI

Brynn Parkinson, MSW, LCSW

  • Clinical Social Worker
  • Bloomington, IN
National Provider Identifier
1134912314
Registry record updated Jun 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34011674A Issued in IN
Practice address
1840 S Walnut St Ste 108
Bloomington, IN 47401-7732
Phone
(812) 318-1129
NPI assigned
May 28, 2025
Last updated
Jun 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 34011674A IN Primary

Addresses

Primary practice location

1840 S Walnut St Ste 108
Bloomington, IN 47401-7732

Mailing address

1840 S Walnut St Ste 108
Bloomington, IN 47401-7732
Phone (812) 318-1129

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 8, 2026 through Jul 8, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
34011674AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
In Bloom Counseling and Therapy Services, LLC Current Accepting new patients

Locations

1840 S Walnut St
Ste 108
Bloomington, IN 47401
Phone (812) 318-1129

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1748390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749168000000",
    "number": "1134912314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 S WALNUT ST STE 108",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474017732",
            "telephone_number": "812-318-1129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 S WALNUT ST STE 108",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474017732",
            "telephone_number": "812-318-1129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKINSON",
        "first_name": "BRYNN",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-28",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34011674A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IN

Sources for this page

Verify at the official NPI Registry.