Active NPI
Brianna Burroughs, LICSW
- Clinical Social Worker
- Madison, WI
National Provider Identifier
1154890309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 10201-123
- Practice address
- 202 S Park St
Madison, WI 53715-1596 - Phone
- (608) 417-6000
- NPI assigned
- Nov 16, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 10201-123 | WI | Primary |
| Clinical Social Worker | 1041C0700X | LW60842772 | WA |
Addresses
Primary practice location
202 S Park St
Madison, WI 53715-1596
Mailing address
526 Aztalan Dr
Madison, WI 53718-3205
Phone (206) 566-1669
Other names 1
- Brianna Rachel Niemi
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LW60842772 | WA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785715200000",
"number": "1154890309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "526 AZTALAN DR",
"city": "MADISON",
"state": "WI",
"postal_code": "537183205",
"telephone_number": "206-566-1669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 S PARK ST",
"city": "MADISON",
"state": "WI",
"postal_code": "537151596",
"telephone_number": "608-417-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURROUGHS",
"first_name": "BRIANNA",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-16",
"last_updated": "2026-08-03",
"certification_date": "2026-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "10201-123",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "LW60842772",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BRIANNA",
"last_name": "NIEMI",
"middle_name": "RACHEL",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.