Individual provider Active NPI

Brandi Butler, LMSW

  • Clinical Social Worker
  • Birmingham, MI
National Provider Identifier
1669804043
Registry record updated Feb 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801093968 Issued in MI
Practice address
800 N Old Woodward Ave Ste 210
Birmingham, MI 48009-3802
Phone
(248) 934-0570
NPI assigned
Aug 7, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X 6801093968 MI
Clinical Social Worker 1041C0700X 6801093968 MI Primary

Addresses

Primary practice location

800 N Old Woodward Ave Ste 210
Birmingham, MI 48009-3802

Mailing address

2886 12 Mile Rd Unit 721502
Berkley, MI 48072-0720
Phone (248) 934-0570

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
6801093968MIMDSchool Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Insight Healing and Wellness, LLC. CurrentSince Feb 21, 2021 Accepting new patients

Locations

2886 12 Mile Rd
Unit 721502
Berkley, MI 48072

800 N Old Woodward Ave
Ste 210
Birmingham, MI 48009
Phone (248) 301-2504

25899 W 12 Mile Rd
Ste 320
Southfield, MI 48034
Phone (248) 303-0400

28448 Franklin Rd
Southfield, MI 48034
Phone (248) 733-3981

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1375833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613174400000",
    "number": "1669804043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2886 12 MILE RD UNIT 721502",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480720720",
            "telephone_number": "248-934-0570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 N OLD WOODWARD AVE STE 210",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480093802",
            "telephone_number": "248-934-0570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "BRANDI",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-07",
        "last_updated": "2021-02-13",
        "certification_date": "2021-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "MI",
            "license": "6801093968",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801093968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2021; 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.