Active NPI
Brocelyn L Crowley
- Social Worker
- Okemos, MI
National Provider Identifier
1982275533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6801103565
- Practice address
- 4211 Okemos Rd Ste 18
Okemos, MI 48864-3287 - Phone
- (313) 444-3480
- NPI assigned
- Jul 6, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 | 6801103565 | MI | Primary |
Addresses
Primary practice location
4211 Okemos Rd Ste 18
Okemos, MI 48864-3287
Mailing address
247 Sweet Martha Dr
Mooresville, NC 28115-7906
Phone (570) 772-6020
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 |
|---|---|---|---|
| 6801103565 | MI | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jaynaya Barlow | Single Specialty | Current | Accepting new patients |
Locations
4211 Okemos Rd
Ste 18
Okemos, MI 48864
Phone (313) 444-3480
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": "1625529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625529600000",
"number": "1982275533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "247 SWEET MARTHA DR",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281157906",
"telephone_number": "570-772-6020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4211 OKEMOS RD STE 18",
"city": "OKEMOS",
"state": "MI",
"postal_code": "488643287",
"telephone_number": "313-444-3480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROWLEY",
"first_name": "BROCELYN",
"middle_name": "L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-06",
"last_updated": "2021-07-06",
"certification_date": "2021-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker",
"state": "MI",
"license": "6801103565",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Okemos, MI
- Madisen Talos Crane, RBT
- Valerie Yvonne Crawford, SPEECH-PATHOLOGIST
- Kameryn Crosby
- Crossroads Rehabilitation Limited Partnership
- Kelly Crouch
- Sylvia Cruthers, LMSW, ACSW
- Audrey Cubba
- Stephanie Irene Cuevas, LLMSW
- Curated Change Psychotherapy and Coaching PLLC
- Curiouser & Curiouser Counseling Services, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.