Brian J Whelan, MSW, CMT, SEP, DD

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801085244 Issued in MI

Practice address

111 N 1St St
Suite 2
Ann Arbor, MI 48104-1397

Phone

(734) 717-6097

NPI assigned

May 13, 2008

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

State licenses

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

{
    "created_epoch": "1210636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210636800000",
    "number": "1093982779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 N 1ST ST",
            "address_2": "SUITE 2",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481041397",
            "telephone_number": "734-717-6097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N 1ST ST",
            "address_2": "SUITE 2",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481041397",
            "telephone_number": "734-717-6097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHELAN",
        "first_name": "BRIAN",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "MSW, CMT, SEP, DD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-13",
        "last_updated": "2008-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801085244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Ann Whalen, COTA/L
• Eric Andrew Wheatley, MD
• Joel Andrew Wheeler, BSW
• Veronica Elizabeth Wheeler, PA-C
• Kevin Michael Wheelock, MD
• Rebecca Whelan
• Ann Christine Whetstone, RD
• Colin Whitaker, MD
• Susan I Whitaker, NP
• White Behavioral Consultants, PC

• 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 13, 2008; 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.