Individual provider Active NPI

Brandon Lamar Terrell, LLMSW

  • Clinical Social Worker
  • Farmington Hills, MI
National Provider Identifier
1528605995
Registry record updated Nov 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801104317 Issued in MI
Practice address
30800 Northwestern Hwy
Farmington Hills, MI 48334-2569
Phone
(734) 383-6588
NPI assigned
Dec 4, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2020

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 6801104317 MI Primary

Addresses

Primary practice location

30800 Northwestern Hwy
Farmington Hills, MI 48334-2569

Mailing address

30800 Northwestern Hwy
Farmington Hills, MI 48334-2569
Phone (734) 383-6588

Other practice location 1

6276 Jackson Rd Ste D
Ann Arbor, MI 48103-9579
Phone (734) 956-0051

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
6801104317MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ann Arbor Counseling Associates, LLC CurrentSince Dec 1, 2019 Accepting new patients
Arbor West Chiropractic Center P.C. PastSince Dec 1, 2019 Accepting new patients

Locations

6276 Jackson Rd
Ste D
Ann Arbor, MI 48103
Phone (734) 956-0051

Organizations & group practices 2

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": "1575417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604620800000",
    "number": "1528605995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30800 NORTHWESTERN HWY",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483342569",
            "telephone_number": "734-383-6588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30800 NORTHWESTERN HWY",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483342569",
            "telephone_number": "734-383-6588"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6276 Jackson Rd Ste D",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481039579",
            "country_code": "US",
            "telephone_number": "734-956-0051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TERRELL",
        "first_name": "BRANDON",
        "middle_name": "LAMAR",
        "name_prefix": "Mr.",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-04",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801104317",
            "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 Nov 6, 2020; 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.