Ashley Brunt, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

33007361A Issued in IN

Practice address

621 Memorial Dr Ste 402
South Bend, IN 46601-1074

Phone

(219) 413-5100

NPI assigned

Nov 23, 2018

Last updated

Nov 23, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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)

Enrolled

State licenses

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

{
    "created_epoch": "1542931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542931200000",
    "number": "1932678679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18185 BRIGHTLINGSEA PL",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466374416",
            "telephone_number": "574-339-7088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 MEMORIAL DR STE 402",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466011074",
            "telephone_number": "219-413-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNT",
        "first_name": "ASHLEY",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-23",
        "last_updated": "2018-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IN",
            "license": "33007361A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaylie Bruinsma, MSW
• William Bruinsma, PSYD
• Ellen Bruneel, OTR
• Mary Joan Brunner
• Seth David Brunner, DPT
• Randy Joseph Brush, P.A.
• Connie Marie Bryan, RN
• Geraldne F Bryan, MSW, LCSW
• Nancy Bryant, LCSW
• Janiah Buchanon, RBT

• Social Worker in South Bend, IN
• Providers in South Bend, IN by specialty
• Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2018; 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.