Active NPI
Charlene P. Bruley, LICSW
- Clinical Social Worker
- Shelton, WA
National Provider Identifier
1346325198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SWI.LW.60568637
- Practice address
- 41 E Noble PL
Shelton, WA 98584-9745 - Phone
- (302) 966-3020
- NPI assigned
- Oct 26, 2006
- Last updated
- Oct 8, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 | 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BBH-LCSW-LIC-90771 | MT | MD | Clinical Social Worker |
| SWI.LW.60568637 | WA | MD | Clinical Social Worker |
| 3764 | ND | MD | Pharmacist |
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2026; 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.