Jennifer Nyberg, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801114793 Issued in MI

Practice address

20774 Indian St
Southfield, MI 48033-3512

Phone

(734) 709-0887

NPI assigned

Jan 18, 2023

Last updated

Jan 18, 2023By the provider in NPPES

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

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Bright Spot Counseling PLLC

  dba Bright Spot Counseling and EMDR Treatment Center

  • Multi-Specialty Clinic/Center
  • Farmington Hills, MI
  • NPI 1184105173
  Medicare reassignment

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

{
    "created_epoch": "1674000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674000000000",
    "number": "1659086247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20774 INDIAN ST",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480333512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20774 INDIAN ST",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480333512",
            "telephone_number": "734-709-0887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYBERG",
        "first_name": "JENNIFER",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-18",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801114793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Kay Nwadinobi, PA
• Ikechi Nwamgbe
• Rubby Nwonye, RHIT
• Udodirim Nwosu
• Anna Grace Nyberg
• Jonathan Kyulu Nzoma, DO
• O L Matthews MD PC (Annapolis Medical Specialty Center)
• O P Hospice, Inc.
• Antilishia O'Bannon, CRANIAL PROSTHESIS
• Christina Anne O'Brien, M.S., CRNA

• Clinical Social Worker in Southfield, MI
• Providers in Southfield, 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 Jan 18, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.