Brishia Lee Kluck, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801093366 Issued in MI

Practice address

794 Pine St Ste 230-O
Muskegon, MI 49442-1020

Phone

(231) 375-7873

Fax

(231) 788-9162

NPI assigned

Dec 2, 2011

Sex

Female

Sole proprietor

Yes

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 MI

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, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shores Wellness and Counseling PLLCGroup PAC ID 5395197354, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Shores Wellness and Counseling, PLLC

  • Clinical Social Worker
  • Muskegon, MI
  • NPI 1194407783
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1322784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1538437751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 SEMINOLE RD STE 200A",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494443747",
            "telephone_number": "231-375-7873",
            "fax_number": "231-788-9162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "794 PINE ST STE 230-O",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494421020",
            "telephone_number": "231-375-7873",
            "fax_number": "231-788-9162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLUCK",
        "first_name": "BRISHIA",
        "middle_name": "LEE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-02",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801093366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sydney Kleeves, PHARMD
• Sandra Faye Klein Horsman, MSW
• Jay Albert Klein, DO
• Natalia Klimova, DMD
• Emilie D Klop, DIETICIAN
• Joanne Michele Kmetz
• Karen Marie Knapp, RN, CNOR, CRNFA
• Cameron Wayne Knight, DO
• Knollview SNF, LLC
• Benjamin D Knopf, PT, DPT

• Clinical Social Worker in Muskegon, MI
• Providers in Muskegon, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; 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.