Individual provider Active NPI

Gregory Sheldon Rusk, LISW

  • Clinical Social Worker
  • Cincinnati, OH
National Provider Identifier
1013912112
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.0000580-SUPV Issued in OH
Practice address
1060 Nimitzview Dr Ste 215
Cincinnati, OH 45230-4351
Phone
(513) 260-8825
Fax
(513) 832-2993
NPI assigned
Jun 15, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X F.0000092 OH
Clinical Social Worker 1041C0700X I.0000580-SUPV OH Primary

Addresses

Primary practice location

1060 Nimitzview Dr Ste 215
Cincinnati, OH 45230-4351

Mailing address

1060 Nimitzview Dr Ste 215
Cincinnati, OH 45230-4351
Phone (513) 260-8825

Other identifiers 2

IdentifierTypeStateIssuer
270347000OtherOHMAGELLAN
0316251MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040330000009 OH Practitioner - Clinical Social Worker 7214829548 Practice locations: Cincinnati, OH

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1060 Nimitzview Dr
Suite 215
Cincinnati, OH 45230-4351
Phone (513) 260-8825

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F.0000092OHMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Julianne Gast, Psy.D., LLC PastSince Sep 1, 2020 Accepting new patients
Janet G Baker PHD, LLC PastSince Sep 1, 2020 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1013912112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 NIMITZVIEW DR STE 215",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452304351",
            "telephone_number": "513-260-8825",
            "fax_number": "513-832-2993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 NIMITZVIEW DR STE 215",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452304351",
            "telephone_number": "513-260-8825",
            "fax_number": "513-832-2993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSK",
        "first_name": "GREGORY",
        "middle_name": "SHELDON",
        "name_prefix": "Mr.",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-15",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OH",
            "license": "F.0000092",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.0000580-SUPV",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "270347000",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0316251",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.