Emily Cutler-Brockway
Social Worker, Clinical in Southfield, MI. Individual provider (NPI-1).
NPI number1366090334
StatusActive
Last updated in NPPESJun 23, 2021
Details
- NPI
- 1366090334
- Entity type
- Individual (NPI-1)
- Name
- Emily Cutler-Brockway
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 3, 2019
- Certification date
- Jun 23, 2021
- Last updated
- Jun 23, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 6801100288 | MI | Yes |
| 104100000X | Social Worker | – | – |
Practice location
21700 Northwestern HwySouthfield, MI 48075-4906
Phone 855-445-4554
Mailing address
21700 Northwestern HwySouthfield, MI 48075-4906
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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