Bruce Dennis Ottenbreit, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801007603 Issued in MI

Practice address

15350 N Commerce Dr
Dearborn, MI 48120-1297

Phone

(313) 575-6297

NPI assigned

Sep 17, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 1974

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Ottenbreit Psychotherapy Associates, LLC

  • Clinical Social Worker
  • Dearborn, MI
  • NPI 1639621857
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1284681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284681600000",
    "number": "1912215443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15350 N COMMERCE DR",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481201297",
            "telephone_number": "313-575-6297",
            "fax_number": "313-406-6433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15350 N COMMERCE DR",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481201297",
            "telephone_number": "313-575-6297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTTENBREIT",
        "first_name": "BRUCE",
        "middle_name": "DENNIS",
        "name_prefix": "Mr.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-17",
        "last_updated": "2010-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801007603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Udoka Osuoha
• Eduardo Jose Otero-Loperena, MD
• Reem Othman
• Jessica L Ott, CPNP-PC
• Ottenbreit Psychotherapy Associates, LLC
• Otto Bock Patient Care, LLC
• Hassan Sami Oueis, DDS
• Hayam Oustah
• Alex Ouza
• Haidar Ouza

• Clinical Social Worker in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.