Pandora Brown, MSW
Individual provider Active NPI Clinical Social Worker · Oak Park, MI
NPI 1669915104 · NPPES record last updated Dec 1, 2016
Key facts
- NPI
- 1669915104
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 6801069656 (MI)
- Practice address
- 12751 W 10 Mile Rd
Oak Park, MI 48237-1662 - Phone
- (248) 259-5733
- NPI assigned
- Dec 1, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170124002720 | MI | Practitioner - Clinical Social Worker | 9032491162 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A Better Tomorrow Counseling and Consultation Services, LLC | Current |
Accepting new patients | |
| Yes You Can Adult Day Center LLC | Clinical | Current | Accepting new patients |
| Yes You Can Home Help Agency, LLC | Current | Accepting new patients | |
| Serenity Healing Center Counseling & Consultation Services, LLC | Current |
Accepting new patients |
Locations
25245 5 Mile Rd
Ste 500
Redford, MI 48239
Phone (313) 255-2650
24801 5 Mile Rd
Ste 7
Redford, MI 48239
Phone (248) 281-3862
26677 W 12 Mile Rd
Southfield, MI 48034
Phone (248) 234-4816
26677 W 12 Mile Rd
Ste 115
Southfield, MI 48034
Phone (248) 259-5733
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801069656 | MI | Yes |
Addresses
Primary practice location
12751 W 10 Mile Rd
Oak Park, MI 48237-1662
Mailing address
25245 5 Mile Rd
Ste 500
Redford, MI 48239-3701
Phone (313) 255-2650
Other providers in Oak Park, MI
- Bridgepoint Counseling LLC
- Bridgestone Home Care LLC
- Fabio Ridge Brikho
- Toni Felicia Brooks
- Brian Martin Brown
- Tamika Idell Buford
- Kastytis Leonas Buitkus
- Angela Burgess
- Marilyn Burke
- Burnett Home Care
All providers in Oak Park, MI · Clinical Social Worker in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 1, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.