Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brianna C Bourne

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1336482975

Brianna C Bourne is a Clinical Social Worker in Pueblo, Colorado. Qualified in 2012, 14 years ago. Practices with Sondermind Provider Network LLC, a 1,258-clinician group and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
14
Licensed in
CO
In the registry since
2013
Specialties on file
2
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Practice location Address checks out

1012 W Abriendo Ave
Pueblo, CO 81004-1128
Phone: (719) 545-2746
Fax: (719) 583-4160
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence CSW.09923877 (CO)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence ACD.0000451 (CO)

Record details

NPI number1336482975
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 2, 2013
Last updated in NPPESFebruary 16, 2017
Mailing address41 Montebello Rd, Suite 200, Pueblo, CO 81001-1379

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Sondermind Provider Network Llc — 1258 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Pueblo