Justine Braford LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801092797 Issued in MI

Legal business name

JUSTINE BRAFORD LLC

Practice address

4127 Embassy Dr SE
Grand Rapids, MI 49546-2418

Phone

(616) 264-3200

Fax

(616) 264-3201

NPI assigned

Sep 9, 2015

Organization subpart

No

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

Authorized official

Name

Justine Braford, LMSW

Title

Owner/Provider

Phone

(616) 264-3200

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1441756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441756800000",
    "number": "1740658673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4127 EMBASSY DR SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495462418",
            "telephone_number": "616-264-3200",
            "fax_number": "616-264-3201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4127 EMBASSY DR SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495462418",
            "telephone_number": "616-264-3200",
            "fax_number": "616-264-3201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUSTINE BRAFORD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-09",
        "last_updated": "2015-09-09",
        "status": "A",
        "authorized_official_last_name": "BRAFORD",
        "authorized_official_first_name": "JUSTINE",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "616-264-3200",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801092797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann-Marie Jurek
• Max Jurewicz
• Vanessa Ann Jurewicz, LMSW
• Just a Social Worker, PLLC
• Justice Project Counseling LLC
• K. Thomas Crocker, D.O., P.C.
• Gay R. Kaashoek, F.N.P.
• Michelle Kari Kachman
• Frederick Kacos Jr
• Roxann Kacos, LLMSW CADC

• Clinical Social Worker in Grand Rapids, MI
• Providers in Grand Rapids, 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 Sep 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.