Michelle Kathleene Brantley, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW4582 Issued in FL

Practice address

2122 E Randolph Cir
Tallahassee, FL 32308-0726

Phone

(850) 933-5155

NPI assigned

Jan 20, 2010

Last updated

Jan 20, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1263945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263945600000",
    "number": "1043541758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 E RANDOLPH CIR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323080726",
            "telephone_number": "850-933-5155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2122 E RANDOLPH CIR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323080726",
            "telephone_number": "850-933-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANTLEY",
        "first_name": "MICHELLE",
        "middle_name": "KATHLEENE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-20",
        "last_updated": "2010-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW4582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorin Brand, MS/EDS, LMHC
• Kellie Marie Brannon
• Brandon Brantley, PHARM.D.
• Cicely W. Brantley, PHD, LMHC, CFLE
• Eric Brantley
• Thomas Hunter Brantley, DMD, MS
• Gurpaul Singh Brar, M.D.
• Regan S Braun
• Brave Minds Counseling LLC
• Mary Catherine Bravo, LCSW

• Clinical Social Worker in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2010; 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.