Jerrold R. Brandell, PH.D., MSSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801033225 Issued in MI

Practice address

202 East Washington Street
Suite 204
Ann Arbor, MI 48103-2017

Phone

(734) 332-4761

NPI assigned

Nov 14, 2006

Sex

Male

Sole proprietor

Yes

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

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622073600000",
    "number": "1063584571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 EAST WASHINGTON STREET",
            "address_2": "SUITE 204",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481032017",
            "telephone_number": "734-535-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 EAST WASHINGTON STREET",
            "address_2": "SUITE 204",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481032017",
            "telephone_number": "734-332-4761"
        }
    ],
    "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": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801033225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbaranne Branca, PHD
• Maija Annikki Branch
• Connor Michael Brancheau, CRNA
• Branching Out Therapy Woodli Krutek Sole MBR
• Erica Brand, DNP, CPNP-PC
• Kolin Brandman, RRT
• Catherine J Brandon, MD
• Rufus Brandon II
• Eric Jerome Brandt, M.D.
• Madalyn Brandt

• Clinical Social Worker in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; 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.