Pandora Brown, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801069656 Issued in MI

Practice address

12751 W 10 Mile Rd
Oak Park, MI 48237-1662

Phone

(248) 259-5733

NPI assigned

Dec 1, 2016

Last updated

Dec 1, 2016By 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: No
• 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

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.

• Serenity Healing Center Counseling & Consultation Services, LLC

  • Mental Health Counselor
  • Southfield, MI
  • NPI 1063985786
  Medicare reassignment NPD Authorized official
• A Better Tomorrow Counseling and Consultation Services, LLC

  • Mental Health Counselor
  • Redford, MI
  • NPI 1962763052
  Medicare reassignment NPD
• Yes You Can Adult Day Center LLC

  • Clinical Social Worker
  • Oak Park, MI
  • NPI 1447715958
  NPD Authorized official
• Yes You Can Home Help Agency, LLC

  • Home Health Agency
  • Southfield, MI
  • NPI 1356967905
  NPD

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

{
    "created_epoch": "1480550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480550400000",
    "number": "1669915104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25245 5 MILE RD",
            "address_2": "STE 500",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482393701",
            "telephone_number": "313-255-2650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12751 W 10 MILE RD",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482371662",
            "telephone_number": "248-259-5733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "PANDORA",
        "name_prefix": "Mrs.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-01",
        "last_updated": "2016-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801069656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bridgepoint Counseling LLC
• Bridgestone Home Care LLC
• Fabio Ridge Brikho, OT/R L
• Toni Felicia Brooks
• Brian Martin Brown, LLPC
• Tamika Idell Buford
• Kastytis Leonas Buitkus, M.D.
• Angela Burgess, MSW
• Marilyn Burke
• Burnett Home Care

• Clinical Social Worker in Oak Park, MI
• Providers in Oak Park, 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 Dec 1, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.