Jessica Marie O'Brien, LLMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801092119 Issued in MI

Practice address

9000 E Jefferson Ave
Apt. 24-11
Detroit, MI 48214-4188

Phone

(517) 902-7948

NPI assigned

Jul 13, 2015

Sex

Female

Sole proprietor

No

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: Yes
• 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

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

{
    "created_epoch": "1436745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436745600000",
    "number": "1700260411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000 E JEFFERSON AVE",
            "address_2": "APT. 24-11",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482144188",
            "telephone_number": "517-902-7948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 E JEFFERSON AVE",
            "address_2": "APT. 24-11",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482144188",
            "telephone_number": "517-902-7948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "JESSICA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-13",
        "last_updated": "2015-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801092119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Canyon O'Brien, DO
• Carol O'Brien, LMSW
• Colleen O'Brien, DDS
• Colleen O'Brien
• Deanna O'Brien
• Karen O'Brien, MA, CCC-SLP
• Michael O'Brien, DDS
• Sean O'Brien, PA-C
• Megan Kerri O'Bryan, DPM
• Theresa Clark O'Bryant, BCTMB, LMT

• Clinical Social Worker in Detroit, MI
• Providers in Detroit, 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 Jul 13, 2015; 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.