Individual provider · Type 1 NPI

Carolyn Evelyn Brunner, LICSW

Clinical Social Worker · Minneapolis, MN

NPI number 1497712343 Active

Practice location

3009 Holmes Ave
Minneapolis, MN 55408-2628

Fax (612) 827-8916

Mailing address

2235 Flora Ct
Lino Lakes, MN 55038-7731

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X01345 (MN)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1497712343

Carolyn Evelyn Brunner, LICSW's National Provider Identifier is 1497712343, issued on Apr 26, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Minneapolis, MN. The record was last updated on Jul 13, 2026.