Active NPI
Paul Michael Brunner, MSW, LCSW
- Social Worker
- Walsenburg, CO
National Provider Identifier
1659517837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- C007062
- Practice address
- 538 Rugby Mines Rd
Walsenburg, CO 81089-9756 - Phone
- (910) 574-3515
- NPI assigned
- Dec 18, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CSW.09926354 | CO | |
| Clinical Social Worker | 1041C0700X | P-0004680 | NC | |
| Clinical Social Worker | 1041C0700X | C 007062 | NC | |
| Social Worker | 104100000X | C007062 | NC | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | P004680 | NC |
Addresses
Primary practice location
538 Rugby Mines Rd
Walsenburg, CO 81089-9756
Mailing address
538 Rugby Mines Rd
Walsenburg, CO 81089-9756
Phone (910) 574-3515
Other practice location 1
216 W Routt Ave
Pueblo, CO 81004-1844
Phone (910) 574-3615
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P004680 | NC | MD | Addiction (Substance Use Disorder) Counselor |
| C007062 | NC | MD | Social Worker |
| CSW.09926354 | CO | MD | Clinical Social Worker |
| C 007062 | NC | MD | Clinical Social Worker |
| P-0004680 | NC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756425600000",
"number": "1659517837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "538 RUGBY MINES RD",
"city": "WALSENBURG",
"state": "CO",
"postal_code": "810899756",
"telephone_number": "910-574-3515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "538 RUGBY MINES RD",
"city": "WALSENBURG",
"state": "CO",
"postal_code": "810899756",
"telephone_number": "910-574-3515"
}
],
"practiceLocations": [
{
"address_1": "216 W Routt Ave",
"address_purpose": "LOCATION",
"city": "Pueblo",
"state": "CO",
"postal_code": "810041844",
"country_code": "US",
"telephone_number": "910-574-3615",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRUNNER",
"first_name": "PAUL",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "MSW, LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-12-18",
"last_updated": "2025-08-29",
"certification_date": "2025-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "CSW.09926354",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P-0004680",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C 007062",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NC",
"license": "C007062",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "P004680",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Walsenburg, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.