Individual provider Active NPI

Brian Charles Todorow, LMSW, MA

  • Clinical Social Worker
  • Brighton, MI
National Provider Identifier
1013568401
Registry record updated Sep 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801082838 Issued in MI
Practice address
8700 N 2ND St Ste 202
Brighton, MI 48116-1296
Phone
(810) 522-0785
Fax
(810) 522-8155
NPI assigned
Sep 26, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2019

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 6801082838 MI Primary

Addresses

Primary practice location

8700 N 2ND St Ste 202
Brighton, MI 48116-1296

Mailing address

8639 Candlewood St Apt 7
Brighton, MI 48116-2338
Phone (734) 417-6373

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6801082838MIMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1569456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569456000000",
    "number": "1013568401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8639 CANDLEWOOD ST APT 7",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481162338",
            "telephone_number": "734-417-6373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 N 2ND ST STE 202",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481161296",
            "telephone_number": "810-522-0785",
            "fax_number": "810-522-8155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TODOROW",
        "first_name": "BRIAN",
        "middle_name": "CHARLES",
        "credential": "LMSW, MA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-26",
        "last_updated": "2019-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801082838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.