Individual ProviderBrienne HackettSocial WorkerBehavioral Health & Social Service ProvidersPractice Address22170 W 9 Mile Rd, Southfield, MI 48033-6007(313) 354-5594PECOS EnrollmentBased on the most recent information from CMS, provider Brienne Hackett is legally eligible to order and refer claims for Part B and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:21 AM.Profile DetailsProvider ID1811542442Provider TypeIndividualFull NameHackett, BrienneCredentialLMSWGenderFemaleSole ProprietorNoEnumeration Date8/9/2019Last Updated12/10/2025Contact InformationPractice LocationPractice Address22170 W 9 Mile Rd, Southfield, MI 48033-6007Phone(313) 354-5594FaxUnlisted FaxMailing LocationMailing Address60 Eason St, Highland Park, MI 48203-3708Phone(313) 354-5594FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense6801104734MichiganCode104100000XDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense6801104734Michigan