Mi Ok Song Bruining, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

825 Centerville Rd
Warwick, RI 02886-4342

Phone

(401) 347-8462

NPI assigned

Sep 26, 2008

Last updated

Oct 24, 2024By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

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

{
    "created_epoch": "1222387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729728000000",
    "number": "1154571115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 CENTERVILLE RD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028864342",
            "telephone_number": "508-347-8462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 CENTERVILLE RD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028864342",
            "telephone_number": "401-347-8462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUINING",
        "first_name": "MI OK",
        "middle_name": "SONG",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-26",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "121675",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Ford Brown, MSW
• Kristen D Brown, LICSW/LCDP
• Rachel Brown
• Sara S. Brown, MSN
• Darlene B Bruce, RN
• Georgette Louise Brule, LMHC
• Heather G Brunelli, M.ED.
• Cassandra Bruzdzinski
• Jessica A Bucci, MA LMHC
• Julia Buckley, NP-C

• Clinical Social Worker in Warwick, RI
• Providers in Warwick, RI by specialty
• Clinical Social Worker in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.