Active NPI
Brianna Zimmer
- Social Worker
- Custer, MI
National Provider Identifier
1861104804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 1861104804
- Practice address
- 18 S Main St
Custer, MI 49405-9624 - Phone
- (231) 876-3815
- NPI assigned
- Dec 21, 2022
- Last updated
- Jun 9, 2025
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 1861104804 | MI | Primary |
Addresses
Primary practice location
18 S Main St
Custer, MI 49405-9624
Mailing address
521 Cobb St
Cadillac, MI 49601-2589
Phone (231) 876-3815
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 |
|---|---|---|---|
| 1861104804 | MI | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| District Health Department No 10 | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Public Health or Welfare Agency
- White Cloud, MI
- NPI 1265441877
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1671580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749427200000",
"number": "1861104804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "521 COBB ST",
"city": "CADILLAC",
"state": "MI",
"postal_code": "496012589",
"telephone_number": "231-876-3815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 S MAIN ST",
"city": "CUSTER",
"state": "MI",
"postal_code": "494059624",
"telephone_number": "231-876-3815"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIMMER",
"first_name": "BRIANNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-21",
"last_updated": "2025-06-09",
"certification_date": "2025-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "1861104804",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Custer, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.