Organization Active NPI

Brittany Lutren LLC D.B.a. Niyama Center

  • Clinical Social Worker
  • Southfield, MI
National Provider Identifier
1629601349
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
BRITTANY LUTREN LLC D.B.A. NIYAMA CENTER
Practice address
28475 Greenfield Rd Ste 113
Southfield, MI 48076-3034
Phone
(248) 914-1468
NPI assigned
Feb 20, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Brittany Lutren, LMSW
Title
Licensed Clinical Social Worker
Phone
(248) 914-1468

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

28475 Greenfield Rd Ste 113
Southfield, MI 48076-3034

Mailing address

28475 Greenfield Rd Ste 113
Southfield, MI 48076-3034

Other practice location 1

199 W Brown St
Birmingham, MI 48009-6022
Phone (248) 962-3329

National Provider Directory

National Provider Directory

Locations

306 S Washington Ave
Royal Oak, MI 48067
Phone (866) 600-8440

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1582156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710460800000",
    "number": "1629601349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28475 GREENFIELD RD STE 113",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480763034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28475 GREENFIELD RD STE 113",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480763034",
            "telephone_number": "248-914-1468"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "199 W Brown St",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "MI",
            "postal_code": "480096022",
            "country_code": "US",
            "telephone_number": "248-962-3329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BRITTANY LUTREN LLC D.B.A. NIYAMA CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-20",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A",
        "authorized_official_last_name": "LUTREN",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "248-914-1468",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; 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.