Individual provider Active NPI

Brad Donald Karwowski, LMSW

  • Clinical Social Worker
  • Southgate, MI
National Provider Identifier
1710263587
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801092706 Issued in MI
Practice address
1 Heritage Dr Ste 261
Southgate, MI 48195-2574
Phone
(734) 778-0663
Fax
(734) 785-8328
NPI assigned
Oct 25, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801092706 MI Primary

Addresses

Primary practice location

1 Heritage Dr Ste 261
Southgate, MI 48195-2574

Mailing address

26184 Outer Dr
Lincoln Park, MI 48146-2084
Phone (313) 389-7556

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
I20180313002033 MI Practitioner - Clinical Social Worker 7517229487 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellness Counseling LLCGroup PAC ID 7012335326, 7 clinicians
Wolverine Human ServicesGroup PAC ID 4385928597, 2 clinicians

Practice addresses (Care Compare)

1 Heritage Dr
Suite 261
Southgate, MI 48195-2574
Phone (734) 778-0663

20300 Superior Rd
Suite 160
Taylor, MI 48180-6341
Phone (888) 622-3345

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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.

NPI Registry JSON

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

{
    "created_epoch": "1319500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1710263587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26184 OUTER DR",
            "city": "LINCOLN PARK",
            "state": "MI",
            "postal_code": "481462084",
            "telephone_number": "313-389-7556",
            "fax_number": "313-389-7510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HERITAGE DR STE 261",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481952574",
            "telephone_number": "734-778-0663",
            "fax_number": "734-785-8328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARWOWSKI",
        "first_name": "BRAD",
        "middle_name": "DONALD",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-25",
        "last_updated": "2023-06-29",
        "certification_date": "2022-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801092706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southgate, MI

Sources for this page

Verify at the official NPI Registry.