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

Jean G Brunk, LCSW

Individual provider Clinical Social Worker · NPI 1710130810

Jean G Brunk, LCSW is a Clinical Social Worker in Goshen, Indiana. Qualified in 1990, 36 years ago. Accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
36
Licensed in
IN
In the registry since
2008
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

117 S 5th St
Goshen, IN 46528-3711
Phone: (574) 231-7010
Fax: (574) 231-7135
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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 34001362A (IN)

Record details

NPI number1710130810
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedNovember 3, 2008
Last updated in NPPESMarch 8, 2023
Certification dateMarch 8, 2023
Mailing address117 S 5th St, Goshen, IN 46528-3711

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1990 (36 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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