Active NPI
Breanne Ludington, LMSW
- Clinical Social Worker
- Okemos, MI
National Provider Identifier
1821406315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801096727
- Practice address
- 2149 Jolly Rd Ste 500
Okemos, MI 48864-6028 - Phone
- (517) 347-4645
- NPI assigned
- Jul 28, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801096727 | ||
| Clinical Social Worker | 1041C0700X | 6801096727 | MI | Primary |
Addresses
Primary practice location
2149 Jolly Rd Ste 500
Okemos, MI 48864-6028
Mailing address
2149 Jolly Rd Ste 500
Okemos, MI 48864-6028
Other practice location 1
1206 Clinton Rd
Jackson, MI 49202-2005
Phone (517) 783-4250
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550448000000",
"number": "1821406315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2149 JOLLY RD STE 500",
"city": "OKEMOS",
"state": "MI",
"postal_code": "488646028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2149 JOLLY RD STE 500",
"city": "OKEMOS",
"state": "MI",
"postal_code": "488646028",
"telephone_number": "517-347-4645"
}
],
"practiceLocations": [
{
"address_1": "1206 Clinton Rd",
"address_purpose": "LOCATION",
"city": "Jackson",
"state": "MI",
"postal_code": "492022005",
"country_code": "US",
"telephone_number": "517-783-4250",
"fax_number": "517-783-4164",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LUDINGTON",
"first_name": "BREANNE",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-28",
"last_updated": "2019-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": "6801096727",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801096727",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Okemos, MI
- Rebecca E Lopez, LMSW
- James Franklin Loree, LMSW
- Matthew Lorenz
- Christine Lynn Lovejoy, PMHNP
- Carolyn Sue Lucas, PH.D.
- Courtney Lueders
- Corey Elizabeth Luna, LPC
- Luxottica Retail North America Inc (LensCrafters Optique #05593)
- Luxottica Retail North America Inc (Target Optical #C4028)
- Sarah Macdonald
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.