Provider Demographics
NPI:1003306861
Name:BRUESER, MICHELLE CHRISTINE HERMAN (LCSW, LICSW, LCSW-C)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:CHRISTINE HERMAN
Last Name:BRUESER
Suffix:
Gender:F
Credentials:LCSW, LICSW, LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7990 OLD GEORGETOWN RD # 10B
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-2551
Mailing Address - Country:US
Mailing Address - Phone:301-718-4544
Mailing Address - Fax:
Practice Address - Street 1:7990 OLD GEORGETOWN RD # 10B
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-2551
Practice Address - Country:US
Practice Address - Phone:919-442-8556
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-16
Last Update Date:2023-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical