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NPI Code Detail

MEDICARE: VIRGINIA ELIZABETH BRUNDEEN LCSW

MEDICARE:   VIRGINIA ELIZABETH BRUNDEEN  LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker109327TX

General Provider Information

NPI Number : 1043147655
Entity Type Code : Individual
Provider Name (Legal Business Name) : VIRGINIA ELIZABETH BRUNDEEN LCSW
Provider Business Mailing Address
First Line : PO BOX 1239
Second Line :
City : LAKE STEVENS
State : WA
Zip : 98258-1239
Country : US
Telephone Number : 360-218-4902
Fax Number :
Provider Business Practice Location Address
First Line : PO BOX 1239
Second Line :
City : LAKE STEVENS
State : WA
Zip : 98258-1239
Country : US
Telephone Number : 360-218-4902
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/07/2026
Last Update Date : 05/07/2026

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Directions to “ VIRGINIA ELIZABETH BRUNDEEN LCSW” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.