Bradley Crnobrna, LICSW, LADC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

27399 Issued in MN

Practice address

430 1St Ave N Ste 770
Minneapolis, MN 55401-1738

Phone

(952) 239-1121

NPI assigned

Apr 13, 2015

Sex

Male

Sole proprietor

No

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 MN

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

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Healing Hideout LLC

  • Clinical Social Worker
  • Edina, MN
  • NPI 1922824879
  Medicare reassignment NPD Authorized official
• Nystrom & Associates, LTD

  • Clinical Social Worker
  • New Brighton, MN
  • NPI 1396750188
  NPD

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

{
    "created_epoch": "1428883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1366838781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 1ST AVE N STE 770",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554011738",
            "telephone_number": "952-239-1121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 1ST AVE N STE 770",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554011738",
            "telephone_number": "952-239-1121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRNOBRNA",
        "first_name": "BRADLEY",
        "credential": "LICSW, LADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-13",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "303881",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "27399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ebony Crisp, LICSW
• Stephanie Nicole Crissinger, MT-BC
• Amy Crist
• My-Kia Lynia Crist I
• Megan Crittenden, MA, LPC, LMFT
• Eleanor Croce
• Sarah Anne Croce, MSW, LGSW
• Cameron K Crockett
• Georgeanne Thegze Croft, CNM
• Wiltse Crompton, CPNP

• Clinical Social Worker in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.

Verify at the official NPI Registry.