Mrs Brenna Kristin-liesma Kind, LMSW, CCS-DP, CAADC is a medicare enrolled "Counselor - Addiction (substance Use Disorder)" provider in Gladwin, Michigan. She graduated from medical school in 2022 and has 4 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Ten Sixteen Recovery Network and her current practice location is
1302 Chatterton St, Gladwin, Michigan. You can reach out to her office (for appointments etc.) via phone at
(989) 426-8886.
Mrs Brenna Kristin-liesma Kind is licensed to practice in Michigan (license number C05187) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1669124715.
Healthcare Provider's Profile
| Full Name | Mrs Brenna Kristin-liesma Kind |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 4 Years |
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| Location | 1302 Chatterton St, Gladwin, Michigan |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mrs Brenna Kristin-liesma Kind graduated from medical school in 2022
NPI Data:
- NPI Number: 1669124715
- Provider Enumeration Date: 01/20/2022
- Last Update Date: 03/11/2026
Medicare PECOS Information:
- PECOS PAC ID: 8921507559
- Enrollment ID: I20250819004763
Medical Identifiers
Medical identifiers for Mrs Brenna Kristin-liesma Kind such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1669124715 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1041C0700X | Social Worker - Clinical | 6801120643 (Michigan) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | C05187 (Michigan) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Ten Sixteen Recovery Network | 5395187975 | 3 |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Brenna Kristin-liesma Kind is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Mrs Brenna Kristin-liesma Kind, LMSW, CCS-DP, CAADC
1302 Chatterton St Unit 2,
Gladwin, MI 48624-1804
Ph: (989) 426-8886 | Mrs Brenna Kristin-liesma Kind, LMSW, CCS-DP, CAADC
1302 Chatterton St,
Gladwin, MI 48624-1804
Ph: (989) 426-8886 |
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