Provider Demographics
NPI:1275321879
Name:SUMRELL, BRITTANY MONIQUE (BSW)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:MONIQUE
Last Name:SUMRELL
Suffix:
Gender:
Credentials:BSW
Other - Prefix:
Other - First Name:BRITTANY
Other - Middle Name:MONIQUE
Other - Last Name:SUMRELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2172 DEAN LAKE AVE NE
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49505-4444
Mailing Address - Country:US
Mailing Address - Phone:616-272-8948
Mailing Address - Fax:
Practice Address - Street 1:2172 DEAN LAKE AVE NE
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49505-4444
Practice Address - Country:US
Practice Address - Phone:616-272-8948
Practice Address - Fax:616-272-8948
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-25
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty