Healthcare Provider Details

I. General information

NPI: 1053898460
Provider Name (Legal Business Name): BRITTANY CWIERTNIEWICZ LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/27/2018
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4400 LIVERNOIS RD
TROY MI
48098-4799
US

IV. Provider business mailing address

1876 JANDALE DR
TROY MI
48085-1408
US

V. Phone/Fax

Practice location:
  • Phone: 248-823-4000
  • Fax:
Mailing address:
  • Phone: 586-929-7530
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number6801117624
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6801117624
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: