Individual provider Active NPI

Brandi Becker-Wright

  • Clinical Social Worker
  • Southfield, MI
National Provider Identifier
1891228904
Registry record updated Jun 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801104785 Issued in MI
Practice address
25200 Telegraph Rd Ste 100
Southfield, MI 48033
Phone
(248) 351-0280
NPI assigned
Apr 5, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801104785 MI Primary

Addresses

Primary practice location

25200 Telegraph Rd Ste 100
Southfield, MI 48033

Mailing address

25200 Telegraph Rd Ste 100
Southfield, MI 48033-7443
Phone (248) 351-0280

Other practice location 1

12200 E 13 Mile Rd
Suite 200
Warren, MI 48093-3093
Phone (586) 573-1810

Other practice location 2

25200 Telegraph Rd Ste 100
Southfield, MI 48033
Phone (248) 351-0280

Other names 1

  • Brandi Wright Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190703002745 MI Practitioner - Clinical Social Worker 8527393032 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

25200 Telegraph Rd
Suite 100
Southfield, MI 48033-7443
Phone (248) 351-0280

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801104785MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Alzheimer'S Disease and Related Disorders Association, Inc CurrentSince Jun 10, 2019 Accepting new patients

Locations

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

25200 Telegraph Rd
Southfield, MI 48033
Phone (248) 351-0280

25200 Telegraph Rd
Ste 100
Southfield, MI 48033
Phone (248) 351-0280

24555 Haig St
Taylor, MI 48180
Phone (313) 292-6260

6777 W Maple Rd
West Bloomfield, MI 48322
Phone (248) 325-1000

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1491350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560124800000",
    "number": "1891228904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25200 TELEGRAPH RD STE 100",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480337443",
            "telephone_number": "248-351-0280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25200 TELEGRAPH RD STE 100",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "48033",
            "telephone_number": "248-351-0280"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12200 E 13 Mile Rd",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "MI",
            "postal_code": "480933093",
            "country_code": "US",
            "telephone_number": "586-573-1810",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25200 Telegraph Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "48033",
            "country_code": "US",
            "telephone_number": "248-351-0280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BECKER-WRIGHT",
        "first_name": "BRANDI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-05",
        "last_updated": "2019-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801104785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRANDI",
            "last_name": "WRIGHT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.