Individual provider Active NPI

Brittney Regina Thomas, LCSW

  • Clinical Social Worker
  • Southfield, MI
National Provider Identifier
1982189601
Registry record updated Nov 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801102096 Issued in MI
Practice address
29425 Northwestern Hwy Ste 215
Southfield, MI 48034-1000
Phone
(248) 327-7409
NPI assigned
Sep 27, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 13230 LA
Clinical Social Worker 1041C0700X 6801102096 MI Primary

Addresses

Primary practice location

29425 Northwestern Hwy Ste 215
Southfield, MI 48034-1000

Mailing address

23535 Rockingham St
Southfield, MI 48033-2923
Phone (313) 320-8891

Other practice location 1

23535 Rockingham St
Southfield, MI 48033-2923
Phone (313) 320-8891

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

LicenseStateTypeSpecialty
6801102096MIMDClinical Social Worker
13230LAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1538006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543190400000",
    "number": "1982189601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23535 ROCKINGHAM ST",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480332923",
            "telephone_number": "313-320-8891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29425 NORTHWESTERN HWY STE 215",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341000",
            "telephone_number": "248-327-7409"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23535 Rockingham St",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480332923",
            "country_code": "US",
            "telephone_number": "313-320-8891",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "BRITTNEY",
        "middle_name": "REGINA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-27",
        "last_updated": "2018-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "13230",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801102096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.