Carlene J Brockert LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CARLENE J BROCKERT LLC

Practice address

22309 Mylls St
Saint Clair Shores, MI 48081-1342

Phone

(586) 944-4790

NPI assigned

Apr 25, 2019

Organization subpart

No

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

Authorized official

Name

Carlene J Brockert, LMSW

Title

Owner

Phone

(586) 944-4790

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Megan Frances Branstner

  • Clinical Social Worker
  • Leonard, MI
  • NPI 1982853099
  NPD (past)
• Michele Cloutier

  • Social Worker
  • Sterling Heights, MI
  • NPI 1417429176
  NPD (past)
• Heather Rena Sherry, LMSW

  • Clinical Social Worker
  • Leonard, MI
  • NPI 1629419395
  NPD (past)

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

{
    "created_epoch": "1556150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556150400000",
    "number": "1780248724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22309 MYLLS ST",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480811342",
            "telephone_number": "586-944-4790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22309 MYLLS ST",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480811342",
            "telephone_number": "586-944-4790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLENE J BROCKERT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-25",
        "last_updated": "2019-04-25",
        "status": "A",
        "authorized_official_last_name": "BROCKERT",
        "authorized_official_first_name": "CARLENE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-944-4790",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Care & Comfort Station
• Caring Hands LLC
• Caring Hearts Supportive Living
• Frederick Carington, DO
• Carissa Gaden, PH.D., P.C.
• Josephine Carlesimo
• Brenda Cathleen Carney, LMSW
• Amy Michelle Carpenter, PT
• Amanda Carr, PSY.D.
• Melissa Dawn Carr, L.P.N.

• Community/Behavioral Health Agency in Saint Clair Shores, MI
• Providers in Saint Clair Shores, MI by specialty
• Community/Behavioral Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2019; 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.