MRS. REBECCA BROOME (LMSW) – Clinical Social Worker, NPI 1710012836

MRS. REBECCA BROOME (LMSW) is a healthcare provider. based in Brighton, Michigan. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LMSW. They hold a License No. 6801088507 (MI). The NPI Number for MRS. REBECCA BROOME (LMSW) is 1710012836

Main info

Female
Sole Proprietor
20 Years Of Experience
Accepts Medicare Assignment
Name
MRS. REBECCA BROOME (LMSW)
NPI
1710012836
Phone
(810) 207-5725
Address
8010 GRAND RIVER RD STE 100
Enumeration Date
22 February 2007
Last Update Date
14 May 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8102075725
Graduation Year
2006 (20 years ago)
PAC ID
0547443160
Group Practice PAC ID
7012333545
Professional Enrollment ID
I20110319000015
Address ID
MI481899396WH10335RDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,821 CLINICAL SOCIAL WORKER in MI

Provider Addresses for MRS. REBECCA BROOME (LMSW)

  • 8010 GRAND RIVER RD STE 100

    BRIGHTON, MI 481149303

    Phone: (810) 207-5725

    Type: Location

  • 10335 Cedarcrest Rd

    Whitmore Lake, MI 481899396

    Phone: (810) 207-5725

    Type: Location

  • 10335 CEDARCREST RD

    WHITMORE LAKE, MI 481899396

    Phone: (810) 207-5725

    Type: Mailing

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: 2011-03-19

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
I20110319000015IClinical 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 48114)

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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: 7012333545View full group profile
NameSpecialtyState
Mental Health CounselorMI
Clinical Social WorkerMI
Mental Health CounselorMI
Mental Health CounselorMI
Mental Health CounselorMI

Reviews

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Frequently asked questions

What federal number belongs to MRS. REBECCA BROOME (LMSW)?
The federal identifier for MRS. REBECCA BROOME (LMSW) is NPI 1710012836.
Does this profile mean MRS. REBECCA BROOME (LMSW) is currently active?
Yes — MRS. REBECCA BROOME (LMSW) appears active in the national provider directory.
What kind of provider is MRS. REBECCA BROOME (LMSW)?
The page reflects Clinical Social Worker for MRS. REBECCA BROOME (LMSW). Clinical services aligned with this taxonomy classification.
Where does public data place MRS. REBECCA BROOME (LMSW)?
The snapshot lists Brighton, Michigan for MRS. REBECCA BROOME (LMSW); download NPPES for the complete set.
What if Brighton, Michigan seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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