Individual provider · Type 1 NPI
Shannon Bruin
Clinical Social Worker · Grand Rapids, MI
Practice location
1530 Madison Ave SE
Grand Rapids, MI 49507-1715
Mailing address
901 Eastern Ave NE
Grand Rapids, MI 49503-1201
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | L770724 (MI) |
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 1548629637
Shannon Bruin's National Provider Identifier is 1548629637, issued on Feb 17, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Grand Rapids, MI. The record was last updated on Feb 17, 2016.