Active NPI
Breanna Spencer
- Clinical Social Worker
- Ann Arbor, MI
National Provider Identifier
1679273106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801115608
- Practice address
- 2350 Washtenaw Ave
Ann Arbor, MI 48104-4532 - Phone
- (734) 645-8944
- NPI assigned
- Mar 3, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801115608 | MI | Primary |
Addresses
Primary practice location
2350 Washtenaw Ave
Ann Arbor, MI 48104-4532
Mailing address
16308 Westlake Cir
Van Buren TWP, MI 48111-6147
Phone (586) 817-1235
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801115608 | MI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677801600000",
"number": "1679273106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16308 WESTLAKE CIR",
"city": "VAN BUREN TWP",
"state": "MI",
"postal_code": "481116147",
"telephone_number": "586-817-1235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2350 WASHTENAW AVE",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481044532",
"telephone_number": "734-645-8944"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPENCER",
"first_name": "BREANNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-03",
"last_updated": "2023-03-03",
"certification_date": "2023-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801115608",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.