Robert Bray, LBSW
Individual provider Active NPI Social Worker · Ferndale, MI
NPI 1003248360 · NPPES record last updated Aug 8, 2013
Key facts
- NPI
- 1003248360
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 6802059687 (MI)
- Practice address
- 642 E 9 Mile Rd
Ferndale, MI 48220-1962 - Phone
- (248) 658-6087
- Fax
- (248) 547-3052
- NPI assigned
- Aug 8, 2013
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6802059687 | MI | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Living Services of Oakland County | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6802059687 | MI | Yes |
Addresses
Primary practice location
642 E 9 Mile Rd
Ferndale, MI 48220-1962
Mailing address
642 E 9 Mile Rd
Ferndale, MI 48220-1962
Phone (248) 658-6087
Other providers in Ferndale, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 8, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.