Brianna L Quinn, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

132068121 Issued in WI

Practice address

101 E Fountain St
Dodgeville, WI 53533-1749

Phone

(608) 835-5050

Fax

(608) 835-5010

NPI assigned

Aug 7, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Brianna L Kirschbaum Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Feb 2, 2024 through Feb 2, 2028

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• CWM Counseling LLC

  • Professional Counselor
  • Platteville, WI
  • NPI 1124415740
  NPD (past)

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

{
    "created_epoch": "1596758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686096000000",
    "number": "1992315584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 E MADISON ST",
            "city": "DODGEVILLE",
            "state": "WI",
            "postal_code": "535331168",
            "telephone_number": "608-553-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E FOUNTAIN ST",
            "city": "DODGEVILLE",
            "state": "WI",
            "postal_code": "535331749",
            "telephone_number": "608-835-5050",
            "fax_number": "608-835-5010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "165 W Netherwood St",
            "address_purpose": "LOCATION",
            "city": "Oregon",
            "state": "WI",
            "postal_code": "535751107",
            "country_code": "US",
            "telephone_number": "608-835-5050",
            "fax_number": "608-835-5010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "530 S Water St Ste 3",
            "address_purpose": "LOCATION",
            "city": "Platteville",
            "state": "WI",
            "postal_code": "538183626",
            "country_code": "US",
            "telephone_number": "608-348-5088",
            "fax_number": "608-348-3302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUINN",
        "first_name": "BRIANNA",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-07",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "132068121",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "11157",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100132522",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIANNA",
            "last_name": "KIRSCHBAUM",
            "middle_name": "L",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alan Piper, PT
• Karla R Pohlman, RDH
• Angela M Pomering, RDH
• Jonathon M. Pullara
• John C Puls, LCSW
• Restoration Chiropractic, LLC
• Courtney Rae Reynolds
• Eric Ripley, PHARMD
• Jeffrey Robertson, PHARMD
• Charles Wayne Roethe, RPH

• Clinical Social Worker in Dodgeville, WI
• Providers in Dodgeville, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.