Mandie Lynn Bruyette, SAC, APSW
NPI 1114687407ActiveIndividual· Social Worker· Milwaukee, WI
Social Worker (SAC, APSW) in Milwaukee, Wisconsin, licensed in WI, with an NPI issued in December 2021.
Overview
| NPI | 1114687407 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | SAC, APSW |
| Sole proprietor | No |
| NPI issued | Dec 28, 2021 |
| Last updated in NPPES | Oct 3, 2023 |
| Certified by provider | Oct 3, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker Primary | 104100000X | 132882-121 | WI |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | 16622-131 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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