Physician Compare National (NPI:1013200476)

HEALTHCARE PROVIDER: BECKY SUE BRANT LMSW

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1013200476
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1355571688
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20140305001171
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BRANT
	Individual professional last name
Provider First Name	BECKY
	Individual professional first name
Provider Middle Name	SUE
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2009
	Individual professional's medical school graduation year
Primary Specialty	CLINICAL SOCIAL WORKER
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	31153 PLYMOUTH RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 104
	Group Practice or individual's line 2 address
City	LIVONIA
	Group Practice or individual's city
State	MI
	Group Practice or individual's state
Zip Code	481502134
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y