Active NPI
Carolyn Evelyn Brunner, LICSW
- Clinical Social Worker
- Minneapolis, MN
National Provider Identifier
1497712343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 01345
- Practice address
- 3009 Holmes Ave
Minneapolis, MN 55408-2628 - Phone
- (612) 871-8998
- Fax
- (612) 827-8916
- NPI assigned
- Apr 26, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 01345 | MN | Primary |
Addresses
Primary practice location
3009 Holmes Ave
Minneapolis, MN 55408-2628
Mailing address
2235 Flora CT
Lino Lakes, MN 55038-7731
Phone (651) 762-7962
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 62-20337 | Other | MN | UNITED BEHAVIOR HEALTH |
| 02188BR | Other | MN | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01345 | MN | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1497712343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2235 FLORA CT",
"city": "LINO LAKES",
"state": "MN",
"postal_code": "550387731",
"telephone_number": "651-762-7962",
"fax_number": "612-827-8916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3009 HOLMES AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554082628",
"telephone_number": "612-871-8998",
"fax_number": "612-827-8916"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUNNER",
"first_name": "CAROLYN",
"middle_name": "EVELYN",
"name_prefix": "Ms.",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-26",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "01345",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED BEHAVIOR HEALTH",
"identifier": "62-20337",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "02188BR",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.