Mental Embrace LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MENTAL EMBRACE LLC

Practice address

1261 Beaupre Ave
Madison Heights, MI 48071-2620

Phone

(586) 801-2722

NPI assigned

Oct 21, 2021

Organization subpart

No

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

Authorized official

Name

Amanda M Briskey, LMSWNPI 1457813958

Title

Owner

Phone

(586) 801-2722

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amanda Briskey, LMSW

  • Clinical Social Worker
  • Madison Heights, MI
  • NPI 1457813958
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1634774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634774400000",
    "number": "1083377485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1261 BEAUPRE AVE",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480712620",
            "telephone_number": "586-801-2722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1261 BEAUPRE AVE",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480712620",
            "telephone_number": "586-801-2722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL EMBRACE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-21",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-18",
        "status": "A",
        "authorized_official_last_name": "BRISKEY",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-801-2722",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Madison Heights, MI
• Providers in Madison Heights, 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 Oct 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.