Individual provider Active NPI

Charlene P. Bruley, LICSW

  • Clinical Social Worker
  • Shelton, WA
National Provider Identifier
1346325198
Registry record updated Oct 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SWI.LW.60568637 Issued in WA
Practice address
41 E Noble PL
Shelton, WA 98584-9745
Phone
(302) 966-3020
NPI assigned
Oct 26, 2006
Last updated
Oct 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SWI.LW.60568637 WA Primary
Clinical Social Worker 1041C0700X BBH-LCSW-LIC-90771 MT

Addresses

Primary practice location

41 E Noble PL
Shelton, WA 98584-9745

Mailing address

334 Ponderosa St
Kalispell, MT 59901-2604
Phone (701) 240-5713

Other practice location 1

5 W Mendenhall St
Bozeman, MT 59715-3559
Phone (323) 205-7088

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
BBH-LCSW-LIC-90771MTMDClinical Social Worker
SWI.LW.60568637WAMDClinical Social Worker
3764NDMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791417600000",
    "number": "1346325198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "334 PONDEROSA ST",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599012604",
            "telephone_number": "701-240-5713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 E NOBLE PL",
            "city": "SHELTON",
            "state": "WA",
            "postal_code": "985849745",
            "telephone_number": "302-966-3020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 W Mendenhall St",
            "address_purpose": "LOCATION",
            "city": "Bozeman",
            "state": "MT",
            "postal_code": "597153559",
            "country_code": "US",
            "telephone_number": "323-205-7088",
            "fax_number": "833-419-0181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRULEY",
        "first_name": "CHARLENE",
        "middle_name": "P.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2026-10-08",
        "certification_date": "2026-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "SWI.LW.60568637",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "BBH-LCSW-LIC-90771",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelton, WA

Sources for this page

Verify at the official NPI Registry.