Wesley Brusseau, LCSW, L.AC.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904008320 Issued in VA

Practice address

811 S College Ave
Salem, VA 24153-5165

Phone

(540) 592-1070

NPI assigned

Aug 16, 2013

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

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": "1376611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768003200000",
    "number": "1679906382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 S COLLEGE AVE",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241535165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 S COLLEGE AVE",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241535165",
            "telephone_number": "540-592-1070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1215 3rd St SW",
            "address_purpose": "LOCATION",
            "city": "Roanoke",
            "state": "VA",
            "postal_code": "240164611",
            "country_code": "US",
            "telephone_number": "540-685-2718",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUSSEAU",
        "first_name": "WESLEY",
        "name_prefix": "Mr.",
        "credential": "LCSW, L.AC.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-16",
        "last_updated": "2026-01-10",
        "certification_date": "2026-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904008320",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "VA",
            "license": "0121001241",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Browne, LCSW
• Deja Monet Browner, LPN
• Jennifer J. Broyles, PHYSICAL THERAPIST
• Jane Katherine Bernhardt Brummer, MD
• William J Brunelli, PA
• Sarah Cannon Bryant, LPN
• Andre Budianto
• Kristina Eva Bulas, MD
• Jennifer Lynn Burden, PH.D.
• James Buriak, ATC

• Clinical Social Worker in Salem, VA
• Providers in Salem, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.

Verify at the official NPI Registry.