Deanna Marie Brunk, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW42455 Issued in ID

Practice address

1551 E Mullan Ave Ste 200D
Post Falls, ID 83854-9005

Phone

(208) 262-2441

Fax

(208) 262-2390

NPI assigned

Jul 8, 2021

Last updated

Aug 22, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in ID

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, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Idaho Day Surgery LLCGroup PAC ID 0840101218, 87 clinicians

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.

• North Idaho Day Surgery LLC

  dba Northwest Specialty Hospital

  • General Acute Care Hospital
  • Post Falls, ID
  • NPI 1104824739
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1625702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1205407350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 S SUNSET DR",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838549525",
            "telephone_number": "208-618-1889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 E MULLAN AVE STE 200D",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838549005",
            "telephone_number": "208-262-2441",
            "fax_number": "208-262-2390"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1593 E Polston Ave",
            "address_purpose": "LOCATION",
            "city": "Post Falls",
            "state": "ID",
            "postal_code": "838545326",
            "country_code": "US",
            "telephone_number": "208-262-2441",
            "fax_number": "208-262-2390",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "226 S Sunset Dr",
            "address_purpose": "LOCATION",
            "city": "Post Falls",
            "state": "ID",
            "postal_code": "838549525",
            "country_code": "US",
            "telephone_number": "208-618-1889",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUNK",
        "first_name": "DEANNA",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-08",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": "LMSW-36545",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW42455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniela Brown I, OTR/L
• Peter Christopher Brown, DNP
• Brumbach Family Dentistry PLLC
• Zachary Harris Brumbach, DDS
• Mallory L Bruner
• Jason William Bruns, PT
• Bryan W. McLelland, D.D.S., P.S.
• Lamonica Noel Bryant, LM
• BS Medical Supplies LLC
• Morgan Christine Bullard, DC

• Clinical Social Worker in Post Falls, ID
• Providers in Post Falls, ID by specialty
• Clinical Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; 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.