Individual provider Active NPI

Jerrold R. Brandell, PH.D., MSSW

  • Clinical Social Worker
  • Ann Arbor, MI
National Provider Identifier
1063584571
Registry record updated Sep 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801033225 Issued in MI
Practice address
1207 Packard St
Ann Arbor, MI 48104-3810
Phone
(734) 535-1400
NPI assigned
Nov 14, 2006
Last updated
Sep 18, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2026

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 6801033225 MI Primary

Addresses

Primary practice location

1207 Packard St
Ann Arbor, MI 48104-3810

Mailing address

407 Arbana Dr
Ann Arbor, MI 48103-3707
Phone (734) 535-1400

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6801033225MIMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789689600000",
    "number": "1063584571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 ARBANA DR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481033707",
            "telephone_number": "734-535-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 PACKARD ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481043810",
            "telephone_number": "734-535-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDELL",
        "first_name": "JERROLD",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "PH.D., MSSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801033225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2026; 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.