Individual provider Active NPI

Brandeline R Brown-Lobato, MSW, LCSW

  • Clinical Social Worker
  • Southfield, MI
National Provider Identifier
1447520879
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801119479 Issued in MI
Practice address
28475 Greenfield Rd Ste 113
Southfield, MI 48076-3034
Phone
(248) 607-0887
NPI assigned
Jan 2, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 5750 OK
Clinical Social Worker 1041C0700X 6801119479 MI Primary

Addresses

Primary practice location

28475 Greenfield Rd Ste 113
Southfield, MI 48076-3034

Mailing address

28475 Greenfield Rd Ste 113
Southfield, MI 48076-3034
Phone (248) 607-0887

Other practice location 1

820 W 15th St
Edmond, OK 73013-3621
Phone (405) 858-2700

Other identifiers 2

IdentifierTypeStateIssuer
5750OtherOKLICENSED CLINICAL SOCIAL WORKER LICENSE
200548480AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180731003269 OK Practitioner - Clinical Social Worker 0244588788 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5750OKMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ou Health Partners, Inc CurrentSince Jul 1, 2021 Accepting new patients
Ou Health Partners, Inc CurrentSince Jul 1, 2021 Accepting new patients
Board of Regents of the University of Oklahoma - Ou Physicians CurrentSince Jul 8, 2018 Accepting new patients
Board of Regents of the University of Oklahoma - Ou Physicians CurrentSince Jul 8, 2018 Accepting new patients
Embodied Wellness, PLLC Counselor Past Accepting new patients

Locations

1122 NE 13th St
#274
Oklahoma City, OK 73117

900 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-2230

825 NE 10th St
Ste 3C
Oklahoma City, OK 73104
Phone (405) 271-5239

825 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-4864

1200 Childrens Ave
Oklahoma City, OK 73104
Phone (405) 271-2429

1200 Childrens Ave
Ste 1A
Oklahoma City, OK 73104
Phone (405) 271-4665

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1325462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1447520879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28475 GREENFIELD RD STE 113",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480763034",
            "telephone_number": "248-607-0887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28475 GREENFIELD RD STE 113",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480763034",
            "telephone_number": "248-607-0887"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "820 W 15th St",
            "address_purpose": "LOCATION",
            "city": "Edmond",
            "state": "OK",
            "postal_code": "730133621",
            "country_code": "US",
            "telephone_number": "405-858-2700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN-LOBATO",
        "first_name": "BRANDELINE",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-02",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "5750",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801119479",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED CLINICAL SOCIAL WORKER LICENSE",
            "identifier": "5750",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200548480A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.