Individual provider Active NPI

Brandon Scott Pierce, LMSW

  • Clinical Social Worker
  • Stevensville, MI
National Provider Identifier
1033950928
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801106185 Issued in MI
Practice address
5675 Fairview St
Stevensville, MI 49127-1033
Phone
(269) 429-7727
NPI assigned
Jun 4, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 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 6801106185 MI Primary

Addresses

Primary practice location

5675 Fairview St
Stevensville, MI 49127-1033

Mailing address

5675 Fairview St
Stevensville, MI 49127-1033
Phone (269) 429-7727

Other practice location 1

133 W Main St
Benton Harbor, MI 49022-3607
Phone (269) 408-2258

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
I20240820000811 MI Practitioner - Clinical Social Worker 9830637040 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lakeland Medical PracticesGroup PAC ID 1658427042, 286 clinicians

Practice addresses (Care Compare)

5675 Fairview St
Stevensville, MI 49127-1033
Phone (269) 429-7727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801106185MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeland Medical Practices CurrentSince May 25, 2024 Accepting new patients
Lakeland Hospitals at Niles and St Joseph, Inc CurrentSince Jun 27, 2024 Accepting new patients
Lakeland Hospitals at Niles and St Joseph, Inc CurrentSince Jun 27, 2024 Accepting new patients
Lakeland Medical Practices CurrentSince May 25, 2024 Accepting new patients

Locations

133 W Main St
Benton Harbor, MI 49022
Phone (269) 408-2258

3950 Hollywood Rd
Ste 280
Saint Joseph, MI 49085
Phone (269) 408-0990

1234 Napier Ave
Saint Joseph, MI 49085
Phone (269) 982-4941

5675 Fairview St
Stevensville, MI 49127
Phone (269) 429-7277

Organizations & group practices 4

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": "1717459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1033950928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5675 FAIRVIEW ST",
            "city": "STEVENSVILLE",
            "state": "MI",
            "postal_code": "491271033",
            "telephone_number": "269-429-7727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5675 FAIRVIEW ST",
            "city": "STEVENSVILLE",
            "state": "MI",
            "postal_code": "491271033",
            "telephone_number": "269-429-7727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "133 W Main St",
            "address_purpose": "LOCATION",
            "city": "Benton Harbor",
            "state": "MI",
            "postal_code": "490223607",
            "country_code": "US",
            "telephone_number": "269-408-2258",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIERCE",
        "first_name": "BRANDON",
        "middle_name": "SCOTT",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-04",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801106185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stevensville, MI

Sources for this page

Verify at the official NPI Registry.