Mike D Brummitt, LICDC-LISW is a
Counselor - Addiction (substance Use Disorder) based in Lorain, Ohio. Mike D Brummitt is licensed to practice in Ohio (license number LICDC.161314) and his current practice location is
6140 S Broadway, Lorain, Ohio. He can be reached at his office (for appointments etc.) via phone at
(440) 233-7232.
NPI number for Mike D Brummitt is 1225572878 and his current mailing address is 4343 Clifton Ave, Lorain, Ohio. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1225572878.
Healthcare Provider's Profile
| Full Name | Mike D Brummitt |
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| Gender | Male |
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| Speciality | Counselor - Addiction (substance Use Disorder) |
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| Location | 6140 S Broadway, Lorain, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1225572878
- Provider Enumeration Date: 12/15/2016
- Last Update Date: 01/07/2021
Medical Identifiers
Medical identifiers for Mike D Brummitt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1225572878 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | I.2002402 (Ohio) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LICDC.161314 (Ohio) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mike D Brummitt is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mike D Brummitt, LICDC-LISW
4343 Clifton Ave,
Lorain, OH 44055-3077
Ph: (216) 881-7882 | Mike D Brummitt, LICDC-LISW
6140 S Broadway,
Lorain, OH 44053-3821
Ph: (440) 233-7232 |
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