Individual provider Active NPI

Brittany Marie Sherman

  • Clinical Social Worker
  • Saint Clair Shores, MI
National Provider Identifier
1679075949
Registry record updated Apr 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801108706 Issued in MI
Practice address
28800 Harper Ave
Saint Clair Shores, MI 48081-1249
Phone
(586) 944-2902
NPI assigned
Mar 2, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6802089857 MI
Clinical Social Worker 1041C0700X 6801103607 MI
Clinical Social Worker 1041C0700X 6801108706 MI Primary

Addresses

Primary practice location

28800 Harper Ave
Saint Clair Shores, MI 48081-1249

Mailing address

4800 Jans Dr
Chesterfield, MI 48047-5151
Phone (586) 917-6612

Other practice location 1

1540 S Lapeer Rd
Oxford, MI 48371-6120
Phone (248) 969-0641 ext. 1073

Other practice location 2

4800 Jans Dr
Chesterfield, MI 48047-5151
Phone (586) 917-6612

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
6802089857MIMDSocial Worker
6801103607MIMDClinical Social Worker
6801108706MIMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1519948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617840000000",
    "number": "1679075949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 JANS DR",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480475151",
            "telephone_number": "586-917-6612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28800 HARPER AVE",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480811249",
            "telephone_number": "586-944-2902"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1540 S Lapeer Rd",
            "address_purpose": "LOCATION",
            "city": "Oxford",
            "state": "MI",
            "postal_code": "483716120",
            "country_code": "US",
            "telephone_number": "248-969-0641 x1073",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4800 Jans Dr",
            "address_purpose": "LOCATION",
            "city": "Chesterfield",
            "state": "MI",
            "postal_code": "480475151",
            "country_code": "US",
            "telephone_number": "586-917-6612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHERMAN",
        "first_name": "BRITTANY",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-02",
        "last_updated": "2021-04-08",
        "certification_date": "2021-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6802089857",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801103607",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801108706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Clair Shores, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.