Breanna Mae Gronli, MSW, LICSW, SEP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

30875 Issued in MN

Practice address

2120 60TH Ave NE
Willmar, MN 56201-9140

Phone

(320) 894-1207

NPI assigned

Apr 20, 2022

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1650412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1740923325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 60TH AVE NE",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562019140",
            "telephone_number": "320-905-0306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 60TH AVE NE",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562019140",
            "telephone_number": "320-894-1207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRONLI",
        "first_name": "BREANNA",
        "middle_name": "MAE",
        "credential": "MSW, LICSW, SEP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-20",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "30875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Abbey Guggisberg, LMFT
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• Jonathan C Haas, MD
• Brenda Lynn Habedank, RPH

• Clinical Social Worker in Willmar, MN
• Providers in Willmar, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.