Brent Justin Sykes, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801115224 Issued in MI

Practice address

400 Ferry Ave
Pontiac, MI 48341-3315

Phone

(248) 904-0556

NPI assigned

Oct 23, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Premium Counseling Services

  • Clinical Social Worker
  • Bloomfield Hills, MI
  • NPI 1417838020
  NPD Authorized official

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

{
    "created_epoch": "1477180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1194276394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 FERRY AVE",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483413315",
            "telephone_number": "248-904-0556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 FERRY AVE",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483413315",
            "telephone_number": "248-904-0556"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1172 Eckman Ave",
            "address_purpose": "LOCATION",
            "city": "Pontiac",
            "state": "MI",
            "postal_code": "483421933",
            "country_code": "US",
            "telephone_number": "248-904-0556",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SYKES",
        "first_name": "BRENT",
        "middle_name": "JUSTIN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-23",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801115224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James M Switzer, MD
• Sharon Swoish
• Athena A Syed, NREMT-P
• Rubina Mushtaque Syed, PA-C
• Shujauddin Syed, D.O.
• Lisa Tabisz, DPM
• Natalie Tabor
• Ashvin Karthik Tadakamalla, M.D.
• Mones Takriti, M.D.
• Ghalib Y Talia, M.D.

• Clinical Social Worker in Pontiac, MI
• Providers in Pontiac, 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 Sep 21, 2022; 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.