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

Mr. Douglas Bowen Brunker, LCSW

Individual provider Clinical Social Worker · NPI 1154306421

Mr. Douglas Bowen Brunker, LCSW is a Clinical Social Worker in Salt Lake City, Utah. Licensed in Utah. Registered with an NPI since 2005.

Licensed in
UT
In the registry since
2005
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

780 Guardsman Way
Salt Lake City, UT 84108-1374
Phone: (801) 581-0194
Fax: (801) 581-0193
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 1401633501 (UT)

Record details

NPI number1154306421
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedDecember 9, 2005
Last updated in NPPESJuly 8, 2007

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