Brenda Barnett, LMSW, DP-C, CHAIS
Individual provider Active NPI Clinical Social Worker · Clarkston, MI
NPI 1316516347 · NPPES record last updated Jul 10, 2024
Key facts
- NPI
- 1316516347
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 6801118496 (MI)
- Practice address
- 6549 Town Center Dr Ste a
Clarkston, MI 48346 - Phone
- (800) 395-3223
- NPI assigned
- Jun 23, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240826003682 | MI | Practitioner - Clinical Social Worker | 0547709248 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801118496 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Home of New Vision | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801118496 | MI | Yes |
| Clinical Social Worker | 1041C0700X |
Addresses
Primary practice location
6549 Town Center Dr Ste a
Clarkston, MI 48346
Mailing address
6549 Town Center Dr Ste a
Clarkston, MI 48346-4824
Phone (800) 395-3223
Other practice location 1
29550 Five Mile Rd
Livonia, MI 48154
Phone (800) 395-3223
Other providers in Clarkston, MI
- Robert Ball III
- Ray A Ballard
- Srinivasa Rao Bandarupalli
- Robert C. Barnes
- Susan S Barnes
- Jill E Barnett
- Laura Barnett
- John Fisher Barrett
- Jodi Michelle Barrigar
- Amanda Barterian
All providers in Clarkston, MI · Clinical Social Worker in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 10, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.