Melanie Sharonda Brunner, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4631C Issued in AL

Practice address

611 28TH Ave
Tuscaloosa, AL 35401-1715

Phone

(205) 409-8248

NPI assigned

Mar 3, 2021

Last updated

Apr 15, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Represent Wellness LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tuscaloosa, AL
  • NPI 1881271211
  NPD Authorized official

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

{
    "created_epoch": "1614729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618444800000",
    "number": "1629663570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3920 WATERMELON RD APT B",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354735183",
            "telephone_number": "205-861-4144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 28TH AVE",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354011715",
            "telephone_number": "205-409-8248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNNER",
        "first_name": "MELANIE",
        "middle_name": "SHARONDA",
        "name_prefix": "Miss",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-03",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "4631C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy Johnson Brown, RPH
• Vanessa Miriam Brown
• Venecia Vonjour Brown, FNP-C
• Bruce a Petitt M.D. P.C. (West Alabama Pediatrics)
• Emily Bruner, M.S., CCC-SLP
• Bruno's Supermarkets, LLC. (Bruno's Pharmacy #084)
• Bruno's Supermarkets, LLC. (Food World Pharmacy #027)
• Mary Harrell Bryan, SLP
• Corrie Bryant, BSN
• Dawn Watts Bryant, MD

• Clinical Social Worker in Tuscaloosa, AL
• Providers in Tuscaloosa, AL by specialty
• Clinical Social Worker in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.