MS. THERESA BREYER (LLMSW) – Clinical Social Worker, NPI 1558734624

MS. THERESA BREYER (LLMSW) is a healthcare provider. based in Warren, Michigan. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LLMSW. They hold a License No. 6801098354 (MI). The NPI Number for MS. THERESA BREYER (LLMSW) is 1558734624

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
MS. THERESA BREYER (LLMSW)
NPI
1558734624
Phone
(586) 573-1810
Address
12220 E 13 MILE RD
Enumeration Date
11 November 2015
Last Update Date
8 April 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8665583766
Graduation Year
2015 (11 years ago)
PAC ID
2860830189
Group Practice PAC ID
5698906907
Professional Enrollment ID
I20240405001624
Address ID
MI480935000WA12220RDXX501
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

4,820 CLINICAL SOCIAL WORKER in MI

Provider Addresses for MS. THERESA BREYER (LLMSW)

  • 12220 E 13 MILE RD

    # 300

    WARREN, MI 480935000

    Phone: (586) 573-1810

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-04-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240405001624IClinical Social WorkerMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48093)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5698906907View full group profile
NameSpecialtyState
-MI
Clinical Social WorkerMI
Clinical Social WorkerGA
Nurse PractitionerMI
Clinical Social WorkerMI
Mental Health CounselorMI
Nurse PractitionerMI
-MI
-MI
P S Y C H I A T R YOH

Reviews

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Frequently asked questions

How do I look up MS. THERESA BREYER (LLMSW) by NPI?
Use NPI 1558734624 when you need to reference MS. THERESA BREYER (LLMSW) in forms, claims, or directories.
Is MS. THERESA BREYER (LLMSW)'s NPI currently valid?
The extract we use shows MS. THERESA BREYER (LLMSW) as active.
What kind of provider is MS. THERESA BREYER (LLMSW)?
The page reflects Clinical Social Worker for MS. THERESA BREYER (LLMSW). Clinical services aligned with this taxonomy classification.
Where does public data place MS. THERESA BREYER (LLMSW)?
The snapshot lists Warren, Michigan for MS. THERESA BREYER (LLMSW); download NPPES for the complete set.
Is MS. THERESA BREYER (LLMSW) a real provider?
This page reflects official NPPES data for NPI 1558734624. Always confirm identity and privileges with the practice and licensing boards.

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