Individual provider Active NPI

Thomas Richard Branton, LMSW

  • Social Worker
  • Tecumseh, MI
National Provider Identifier
1689148603
Registry record updated Jan 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801064081 Issued in MI
Practice address
308 S Maumee St
Tecumseh, MI 49286-2033
Phone
(517) 423-6889
NPI assigned
Jan 12, 2019
Last updated
Jan 6, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801064081 MI Primary

Addresses

Primary practice location

308 S Maumee St
Tecumseh, MI 49286-2033

Mailing address

1825 E Joy Rd
Ann Arbor, MI 48105-9607
Phone (734) 649-2252

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190204000062 MI Practitioner - Clinical Social Worker 6709123433 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Masterpeace Center for Counseling and DevelopmentGroup PAC ID 4981506409, 5 clinicians

Practice addresses (Care Compare)

308 S Maumee St
Tecumseh, MI 49286-2033
Phone (517) 423-6889

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Masterpeace Center for Counseling & Development CurrentSince Jan 4, 2019 Accepting new patients
Masterpeace Center for Counseling & Development PastSince Jan 4, 2019 Accepting new patients

Locations

308 S Maumee St
Tecumseh, MI 49286
Phone (517) 423-6889

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1547251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672963200000",
    "number": "1689148603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 E JOY RD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481059607",
            "telephone_number": "734-649-2252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 S MAUMEE ST",
            "city": "TECUMSEH",
            "state": "MI",
            "postal_code": "492862033",
            "telephone_number": "517-423-6889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANTON",
        "first_name": "THOMAS",
        "middle_name": "RICHARD",
        "name_prefix": "Mr.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-12",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801064081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tecumseh, MI

Sources for this page

Verify at the official NPI Registry.