Individual provider Active NPI

Brianna A Kammer-Walsh, LMSW

  • Clinical Social Worker
  • Rochester Hills, MI
National Provider Identifier
1609378892
Registry record updated Mar 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801097091 Issued in MI
Practice address
950 W Avon Rd Ste 3
Rochester Hills, MI 48307-2761
Phone
(248) 656-5003
NPI assigned
Mar 2, 2018
Last updated
Mar 2, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2018

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 6801097091 MI Primary

Addresses

Primary practice location

950 W Avon Rd Ste 3
Rochester Hills, MI 48307-2761

Mailing address

77925 Pinnoo Rd
Richmond, MI 48062-2700
Phone (810) 335-3163

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801097091MIMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1519948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519948800000",
    "number": "1609378892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77925 PINNOO RD",
            "city": "RICHMOND",
            "state": "MI",
            "postal_code": "480622700",
            "telephone_number": "810-335-3163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 W AVON RD STE 3",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483072761",
            "telephone_number": "248-656-5003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMMER-WALSH",
        "first_name": "BRIANNA",
        "middle_name": "A",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-02",
        "last_updated": "2018-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801097091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2018; 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.