Active NPI
Rebecca Broome, LMSW
- Clinical Social Worker
- Brighton, MI
National Provider Identifier
1710012836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801088507
- Practice address
- 8010 Grand River Rd Ste 100
Brighton, MI 48114-9303 - Phone
- (810) 207-5725
- NPI assigned
- Feb 22, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 6801088507 | MI | Primary |
Addresses
Primary practice location
8010 Grand River Rd Ste 100
Brighton, MI 48114-9303
Mailing address
10335 Cedarcrest Rd
Whitmore Lake, MI 48189-9396
Phone (810) 207-5725
Other practice location 1
10335 Cedarcrest Rd
Whitmore Lake, MI 48189-9396
Phone (810) 207-5725
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 730195 | Medicaid | MI |
Other names 1
- Rebecca Bontumasi
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10335 Cedarcrest Rd
Whitmore Lake, MI 48189-9396
Phone (810) 207-5725
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801088507 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anchor Point of Hope Counseling Services PC | Clinical | Current | Accepting new patients |
Locations
211 N 1st St
Ste 206
Brighton, MI 48116
Phone (810) 207-5725
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 and National Provider Directory roles.
-
- Clinical Social Worker
- Whitmore Lake, MI
- NPI 1720600653
-
- Community/Behavioral Health Agency
- Plymouth, MI
- NPI 1316107345
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589414400000",
"number": "1710012836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10335 CEDARCREST RD",
"city": "WHITMORE LAKE",
"state": "MI",
"postal_code": "481899396",
"telephone_number": "810-207-5725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8010 GRAND RIVER RD STE 100",
"city": "BRIGHTON",
"state": "MI",
"postal_code": "481149303",
"telephone_number": "810-207-5725"
}
],
"practiceLocations": [
{
"address_1": "10335 Cedarcrest Rd",
"address_purpose": "LOCATION",
"city": "Whitmore Lake",
"state": "MI",
"postal_code": "481899396",
"country_code": "US",
"telephone_number": "810-207-5725",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROOME",
"first_name": "REBECCA",
"name_prefix": "Mrs.",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-22",
"last_updated": "2020-05-14",
"certification_date": "2020-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801088507",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "730195",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "REBECCA",
"last_name": "BONTUMASI",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Brighton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.