Active NPI
Brianna Renee Courser
- Clinical Social Worker
- Pontiac, MI
National Provider Identifier
1821516022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6802089677
- Practice address
- 1685 Baldwin Ave Ste 100
Pontiac, MI 48340-1115 - Phone
- (248) 706-3450
- NPI assigned
- Sep 7, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6802089677 | MI | Primary |
Addresses
Primary practice location
1685 Baldwin Ave Ste 100
Pontiac, MI 48340-1115
Mailing address
10102 Charter Oaks Dr
Davison, MI 48423-3200
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6802089677 | MI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1504828800000",
"number": "1821516022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10102 CHARTER OAKS DR",
"city": "DAVISON",
"state": "MI",
"postal_code": "484233200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1685 BALDWIN AVE STE 100",
"city": "PONTIAC",
"state": "MI",
"postal_code": "483401115",
"telephone_number": "248-706-3450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COURSER",
"first_name": "BRIANNA",
"middle_name": "RENEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-07",
"last_updated": "2017-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6802089677",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pontiac, MI
- Crystal Cotton
- County of Oakland (Golden Oaks Medical Care Facility)
- County of Oakland (Oakland County Health Division Laboratory)
- County of Oakland
- Courage Care, LLC
- Renee K Courtney, NP
- Chelsea Marie Covington, DDS
- Lawrence J Cowsill, D.O.
- Judith A Cox, M.A.,L.L.P.C.,N.C.C.
- Amy Colleen Craddick, MA, LLPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.