Individual provider Active NPI

Jennifer Brandt, LMSW-C

  • Clinical Social Worker
  • Escanaba, MI
National Provider Identifier
1003783044
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801120498 Issued in MI
Practice address
3409 Ludington St Ste 103
Escanaba, MI 49829-4213
Phone
(906) 789-4040
Fax
(906) 789-4044
NPI assigned
Oct 23, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801120498 MI Primary

Addresses

Primary practice location

3409 Ludington St Ste 103
Escanaba, MI 49829-4213

Mailing address

2525 5TH Ave S
Escanaba, MI 49829-1204
Phone (906) 233-4276

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251124003151 MI Practitioner - Clinical Social Worker 1052803327 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Francis Hospital 85 clinicians

Practice addresses (Care Compare)

3409 Ludington St
Escanaba, MI 49829-4213

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801120498MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
St Francis Hospital CurrentSince Nov 19, 2025 Accepting new patients
St. Francis Hospital CurrentSince Nov 19, 2025 Accepting new patients
St. Francis Hospital Current Accepting new patients

Locations

3409 Ludington St
Ste 103
Escanaba, MI 49829
Phone (906) 789-4040

3409 Ludington St
Ste 104
Escanaba, MI 49829
Phone (906) 786-8343

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1761177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1003783044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 5TH AVE S",
            "city": "ESCANABA",
            "state": "MI",
            "postal_code": "498291204",
            "telephone_number": "906-233-4276",
            "fax_number": "906-786-0660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3409 LUDINGTON ST STE 103",
            "city": "ESCANABA",
            "state": "MI",
            "postal_code": "498294213",
            "telephone_number": "906-789-4040",
            "fax_number": "906-789-4044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDT",
        "first_name": "JENNIFER",
        "credential": "LMSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-23",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801120498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Escanaba, MI

Sources for this page

Verify at the official NPI Registry.