Provider Demographics
NPI:1326549825
Name:BRUEWER, ERICA (LMSW)
Entity Type:Individual
Prefix:
First Name:ERICA
Middle Name:
Last Name:BRUEWER
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 WILLIAMSTON CENTER RD STE 800
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSTON
Mailing Address - State:MI
Mailing Address - Zip Code:48895-8502
Mailing Address - Country:US
Mailing Address - Phone:517-996-6097
Mailing Address - Fax:
Practice Address - Street 1:301 WILLIAMSTON CENTER RD STE 800
Practice Address - Street 2:
Practice Address - City:WILLIAMSTON
Practice Address - State:MI
Practice Address - Zip Code:48895-8502
Practice Address - Country:US
Practice Address - Phone:517-996-6097
Practice Address - Fax:517-996-6099
Is Sole Proprietor?:No
Enumeration Date:2018-02-21
Last Update Date:2022-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical