Active NPI
Brandon Earl Holmes, LMSW
- Clinical Social Worker
- Lakeview, MI
National Provider Identifier
1053540443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801090693
- Practice address
- 420 N Lincoln Ave
Lakeview, MI 48850-8500 - Phone
- (989) 352-1800
- NPI assigned
- Jul 7, 2009
- Last updated
- Sep 24, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801090693 | MI | Primary |
Addresses
Primary practice location
420 N Lincoln Ave
Lakeview, MI 48850-8500
Mailing address
100 Michigan St NE # Mc845
Grand Rapids, MI 49503-2560
Phone (616) 486-6790
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801090693 | MI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379980800000",
"number": "1053540443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 MICHIGAN ST NE # MC845",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495032560",
"telephone_number": "616-486-6790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 N LINCOLN AVE",
"city": "LAKEVIEW",
"state": "MI",
"postal_code": "488508500",
"telephone_number": "989-352-1800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLMES",
"first_name": "BRANDON",
"middle_name": "EARL",
"name_prefix": "Mr.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-07",
"last_updated": "2013-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801090693",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakeview, MI
- H. Keith Treiber, DDS Family Dentistry P. C. (Tamarack Family Dentistry)
- Brooke Hansen, PA-C
- Sherri Dawn Hart
- Health Visions Quest, Inc. (The Healing Center)
- William J Heath, PA-C
- Debra Ruth House, NP
- Robert Nixon Huttinga, PA-C
- Lakeview Dental Associates
- Lakeview Family Chiropractors Inc (Tri County Family Chiropractors)
- Lakeview Health Center PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.