Theresa Breyer, LLMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801098354 Issued in MI

Practice address

12220 E 13 Mile Rd
# 300
Warren, MI 48093-5000

Phone

(586) 573-1810

NPI assigned

Nov 11, 2015

Last updated

Apr 8, 2016By the provider in NPPES

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 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, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Judson Center IncGroup PAC ID 5698906907, 10 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Judson Center, Inc.

  • Community/Behavioral Health Agency
  • Royal Oak, MI
  • NPI 1033264890
  Medicare reassignment Care Compare group NPD
• County of Macomb

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Clinton TWP, MI
  • NPI 1942532197
  Medicare reassignment NPD
• County of Macomb

  • Public Health or Welfare Agency
  • Mount Clemens, MI
  • NPI 1760462253
  NPD
• Judson Center, Inc.

  dba Judson Center Family Health Clinic

  • Family Medicine Physician
  • Warren, MI
  • NPI 1396217600
  NPD

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

{
    "created_epoch": "1447200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460073600000",
    "number": "1558734624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12220 E 13 MILE RD",
            "address_2": "# 300",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480935000",
            "telephone_number": "586-573-1810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12220 E 13 MILE RD",
            "address_2": "# 300",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480935000",
            "telephone_number": "586-573-1810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREYER",
        "first_name": "THERESA",
        "name_prefix": "Ms.",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-11",
        "last_updated": "2016-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801098354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charcie Bray.Frazier, LPN
• Jazmine Breeding
• Carlie Alexis Breen, RBT 17-40767
• Terrence Patrick Brennan, M.D.
• Thomas A Brennan, D.D.S.
• Briandressler PLLC
• Bright Side Dental-Warren PLLC
• Brighter Days Ahead LLC
• Brightpath Home Care LLC
• Kathleen Ann Brigolin, OTRL

• Clinical Social Worker in Warren, MI
• Providers in Warren, 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 Apr 8, 2016; 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.