Individual provider Active NPI

Jill Brown, LLMSW

  • Social Worker
  • Clinton Township, MI
National Provider Identifier
1760710750
Registry record updated Dec 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801085592 Issued in MI
Practice address
44899 Centre CT
Suite 102
Clinton Township, MI 48038-5510
Phone
(586) 792-1654
Fax
(586) 792-1656
NPI assigned
Dec 2, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2009

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 6801085592 MI Primary

Addresses

Primary practice location

44899 Centre CT
Suite 102
Clinton Township, MI 48038-5510

Mailing address

44899 Centre CT
Suite 102
Clinton Township, MI 48038-5510
Phone (586) 792-1654

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6801085592MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Joak American Homes, Inc. PastSince Sep 8, 2009 Accepting new patients
County of Macomb Past Accepting new patients

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": "1259712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259712000000",
    "number": "1760710750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44899 CENTRE CT",
            "address_2": "SUITE 102",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480385510",
            "telephone_number": "586-792-1654",
            "fax_number": "586-792-1656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44899 CENTRE CT",
            "address_2": "SUITE 102",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480385510",
            "telephone_number": "586-792-1654",
            "fax_number": "586-792-1656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "JILL",
        "credential": "LLMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-02",
        "last_updated": "2009-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801085592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2009; 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.