Michelle Lynn McBrayer, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34003798A Issued in IN

Practice address

6050 Sterling Creek Rd
Portage, IN 46368-7752

Phone

(219) 763-8112

Fax

(219) 764-5380

NPI assigned

Nov 25, 2005

Sex

Female

Sole proprietor

No

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

Enrolled in IN

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

Specialty

Clinical Social Worker

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Southlake Community Mental Health Center Inc 37 clinicians

Nwi Clarity Clinic 32 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Southlake Community Mental Health Center Inc.

  • Clinic/Center
  • Merrillville, IN
  • NPI 1821081290

  IN

  Medicare reassignment Care Compare group NPD
• Nwi Clarity Clinic

  • Clinical Social Worker
  • Munster, IN
  • NPI 1619412160

  IN

  Medicare reassignment Care Compare group
• Southlake Community Mental Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Merrillville, IN
  • NPI 1477007292
  Care Compare group NPD
• Southlake Community Mental Health Center Inc.

  • Psychiatric Hospital
  • Merrillville, IN
  • NPI 1548407216
  Care Compare group
• Southlake Community Mental Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • East Chicago, IN
  • NPI 1376919217
  Care Compare group
• Southlake Community Mental Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Hammond, IN
  • NPI 1609231927
  Care Compare group
• Southlake Community Mental Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Hammond, IN
  • NPI 1134543960
  Care Compare group
• Southlake Community Mental Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Hammond, IN
  • NPI 1508297540
  Care Compare group
• Southlake Community Mental Health Center Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • East Chicago, IN
  • NPI 1972092047
  NPD (past)

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

{
    "created_epoch": "1132876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597795200000",
    "number": "1528041308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1430",
            "city": "PORTAGE",
            "state": "IN",
            "postal_code": "463689230",
            "telephone_number": "219-763-8112",
            "fax_number": "219-764-5380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6050 STERLING CREEK RD",
            "city": "PORTAGE",
            "state": "IN",
            "postal_code": "463687752",
            "telephone_number": "219-763-8112",
            "fax_number": "219-764-5380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCBRAYER",
        "first_name": "MICHELLE",
        "middle_name": "LYNN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-25",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34003798A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Martini, PA-C
• Meghann Faye Martus, MSN, RN, NP-C
• Matthew Hearn LTD
• Gwendolyn M Matusz, COTA
• Luke McAuley, OT
• Ellen M McCue
• Jessica McElfresh
• Patricia McKie
• Kaley McLendon
• Medical Associates of Nwi LLC

• All providers in Portage, IN
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.