Verena Lisa Brunner, MSW, ACSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801005295 Issued in MI

Practice address

1812 Longshore Dr
Ann Arbor, MI 48105-1634

Phone

(734) 663-2621

NPI assigned

Jan 16, 2008

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1200441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200441600000",
    "number": "1659557015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1812 LONGSHORE DR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481051634",
            "telephone_number": "734-663-2621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1812 LONGSHORE DR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481051634",
            "telephone_number": "734-663-2621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNNER",
        "first_name": "VERENA",
        "middle_name": "LISA",
        "name_prefix": "Ms.",
        "credential": "MSW, ACSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-16",
        "last_updated": "2008-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801005295",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MI",
            "license": "4101005094",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Brunjes
• Alice Ida Brunner, PH.D.
• Chayna Imani Brunner
• Jackson Rhodes Brunner, M.D.
• Jamie Ann Brunner
• Jacqlene Christina Bruno, PA-C
• Christina Nicole Bruns, MD
• Ericka Renee Brunson-Gillespie, NP
• Phillip Brunson
• Reauna Brushaber, LLPC

• Clinical Social Worker in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2008; 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.