Active NPIIndividual provider

Mr. Kurt M Brunner, MSSW, LCSW

Social Worker, Clinical in Jamaica Plain, Massachusetts

NPI Number1861578098
Practice location
150 S Huntington Ave, Jamaica Plain, MA 02130-4817
Fax
857-364-6868
Last updated
June 23, 2022

Kurt Michael Brunner is a Social Worker, Clinical based in Jamaica Plain, MA. Kurt Michael Brunner practices in Jamaica Plain, MA and has the professional credentials of MSSW, LCSW. The NPI Number for Kurt Michael Brunner is 1861578098 and holds a License No. 126808121 (WI). The current practice location address for Kurt Michael Brunner is 150 S Huntington Ave, Jamaica Plain, MA 02130-4817 and can be reached out via phone at 617-390-4790 and via fax at 857-364-6868.

Provider Profile Details

NPI Number
1861578098
Provider Name
Kurt Michael Brunner
Credential
MSSW, LCSW
Provider Entity Type
Individual
Gender
Male
Address
150 S Huntington Ave, Jamaica Plain, MA 02130-4817
Phone Number
617-390-4790
Fax Number
857-364-6868
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
October 31, 2006
Last Update Date
June 23, 2022
Certification Date
April 22, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
150 S Huntington Ave
Jamaica Plain, MA 02130-4817
Zip
02130-4817
Phone Number
617-390-4790
Fax Number
857-364-6868
Jamaica Plain, MA 02130Get directions →

Provider Business Mailing Address Details

Address
150 S Huntington Ave
Jamaica Plain, MA 02130-4817
City
Jamaica Plain
State
MA
Zip
02130-4817
Phone Number
617-390-4790
Fax Number
857-364-6868

License Information

License Number (1)
126808121
License State (1)
WI
Taxonomy (1)
Social Worker, Clinical · 1041C0700X
License Number (2)
7433-123
License State (2)
WI
Taxonomy (2)
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Kurt M Brunner, MSSW, LCSW?

The NPI number of Mr. Kurt M Brunner, MSSW, LCSW is 1861578098. It was assigned on October 31, 2006 and is currently active in the NPPES registry.

What is the specialty of Mr. Kurt M Brunner, MSSW, LCSW?

Mr. Kurt M Brunner, MSSW, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in WI under license number 126808121.

Where does Mr. Kurt M Brunner, MSSW, LCSW practice?

The practice location is 150 S Huntington Ave, Jamaica Plain, MA 02130-4817. The office can be reached at 617-390-4790 (phone) or 857-364-6868 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1861578098 directly on the NPPES registry website.

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