Individual provider Active NPI

Brittany Ann Kochajda

  • Clinical Social Worker
  • Farmington Hills, MI
National Provider Identifier
1356077606
Registry record updated Jul 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801111284 Issued in MI
Practice address
33493 W 14 Mile Rd
Farmington Hills, MI 48331-1587
Phone
(248) 851-5437
NPI assigned
Jul 28, 2022
Last updated
Jul 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801111284 MI Primary

Addresses

Primary practice location

33493 W 14 Mile Rd
Farmington Hills, MI 48331-1587

Mailing address

24551 Eastwood Village Dr Apt 206
Clinton TWP, MI 48035-5874
Phone (586) 746-4184

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6801111284MIMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1658966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658966400000",
    "number": "1356077606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24551 EASTWOOD VILLAGE DR APT 206",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480355874",
            "telephone_number": "586-746-4184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33493 W 14 MILE RD",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483311587",
            "telephone_number": "248-851-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCHAJDA",
        "first_name": "BRITTANY",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-28",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801111284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.