DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHANNON BRUIN

Active

SHANNON BRUIN is a Clinical Social Worker healthcare provider located in GRAND RAPIDS, Michigan. NPI 1548629637 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · GRAND RAPIDS, MI

Registration Details

NPI Number
1548629637
Provider Type
Individual
Gender
Female
NPI Issued
Feb 17, 2016 (10.303135869294 yrs)
Last Updated
Feb 17, 2016
License
L770724 (MI)

Practice Information

Address
1530 MADISON AVE SE
GRAND RAPIDS, MI, 495071715
Browse MI providers · Browse ZIP 49507
Phone
6168938025
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in GRAND RAPIDS, MI

Name Credential NPI
LISA J. GRIFFIN LMSW 1598765992
MATTHEW D JACHALKE LMSW 1306833439
ROBERT W KOPFENSTEINER JR. LMSW 1386623643
CAROLE CHISHOLM LMSW CSW 1356312474
ROBERT DAVIS LMSW CSW 1962473090
SUSAN K STAUFFER LMSW 1922070143
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.