Active NPI
Brenna Brouwer, LLMSW
- Clinical Social Worker
- Hudsonville, MI
National Provider Identifier
1689400434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6851118897
- Practice address
- 3925 Van Buren St
Hudsonville, MI 49426-9402 - Phone
- (616) 379-0338
- NPI assigned
- Sep 9, 2024
- 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 | 6851118897 | Primary |
Addresses
Primary practice location
3925 Van Buren St
Hudsonville, MI 49426-9402
Mailing address
6228 Blendon Dr Apt 201
Hudsonville, MI 49426-8043
Phone (219) 781-9513
Other practice location 1
360 E Beltline Ave NE Ste 320
Grand Rapids, MI 49506-1214
Phone (616) 805-3660
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726444800000",
"number": "1689400434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6228 BLENDON DR APT 201",
"city": "HUDSONVILLE",
"state": "MI",
"postal_code": "494268043",
"telephone_number": "219-781-9513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3925 VAN BUREN ST",
"city": "HUDSONVILLE",
"state": "MI",
"postal_code": "494269402",
"telephone_number": "616-379-0338"
}
],
"practiceLocations": [
{
"address_1": "360 E Beltline Ave NE Ste 320",
"address_purpose": "LOCATION",
"city": "Grand Rapids",
"state": "MI",
"postal_code": "495061214",
"country_code": "US",
"telephone_number": "616-805-3660",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROUWER",
"first_name": "BRENNA",
"credential": "LLMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-09",
"last_updated": "2024-09-16",
"certification_date": "2024-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": "6851118897",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hudsonville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.