MEDICARE: BRYNN STEMBER-ALBRECHT LICSW

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
1	1041C0700X	Clinical Social Worker	8866-123	WI
2	1041C0700X	Clinical Social Worker	23747	MN

General Provider Information

NPI Number	:	1649711805
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRYNN STEMBER-ALBRECHT LICSW

Provider Business Mailing Address
First Line	:	790 CLEVELAND AVE S
Second Line	:
City	:	SAINT PAUL
State	:	MN
Zip	:	55116-3858
Country	:	US
Telephone Number	:	651-690-0953
Fax Number	:	651-690-0968

Provider Business Practice Location Address
First Line	:	790 CLEVELAND AVE S STE 207
Second Line	:
City	:	SAINT PAUL
State	:	MN
Zip	:	55116-3866
Country	:	US
Telephone Number	:	651-690-0953
Fax Number	:	651-690-0968

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/20/2017
Last Update Date	:	09/29/2020

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