Renee Brunner, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW021740 Issued in PA

Practice address

767 Scotch Valley Rd Ste 3a
Hollidaysburg, PA 16648-6601

Phone

(814) 502-4433

NPI assigned

Mar 27, 2019

Last updated

Apr 23, 2021By 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 PA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Blair Family Solutions, LLC

  • Community/Behavioral Health Agency
  • Altoona, PA
  • NPI 1720133218
  NPD (past)

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

{
    "created_epoch": "1553644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619136000000",
    "number": "1316408958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 1ST AVE",
            "city": "DUNCANSVILLE",
            "state": "PA",
            "postal_code": "166359453",
            "telephone_number": "814-502-4433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "767 SCOTCH VALLEY RD STE 3A",
            "city": "HOLLIDAYSBURG",
            "state": "PA",
            "postal_code": "166486601",
            "telephone_number": "814-502-4433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNNER",
        "first_name": "RENEE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-27",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW135978",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW021740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bradley Peters LPC
• Larry Wayne Breedlove
• Brianna L Breon, SLP
• Gretta G Brown, OD
• Janelle Brumbaugh
• Nicole Marie Bukosky
• David W Bundy Jr., DO
• Kelly Christine Busche, PA-C
• Wendy Michelle Bush, COTA/L
• Kirsten Butterbaugh, MS

• Clinical Social Worker in Hollidaysburg, PA
• Providers in Hollidaysburg, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.