Individual provider Active NPI

Ross Bradley Herner

  • Clinical Social Worker
  • Oak Park, MI
National Provider Identifier
1023745445
Registry record updated Aug 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6851114516 Issued in MI
Practice address
24220 Parklawn St
Oak Park, MI 48237-1508
Phone
(248) 954-9946
NPI assigned
Aug 5, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6851114516 MI Primary

Addresses

Primary practice location

24220 Parklawn St
Oak Park, MI 48237-1508

Mailing address

24220 Parklawn St
Oak Park, MI 48237-1508
Phone (248) 954-9946

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6851114516MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lauren Presutti LLC Clinical CurrentSince Jan 1, 2025 Accepting new patients

Organizations & group practices 1

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": "1659657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659657600000",
    "number": "1023745445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24220 PARKLAWN ST",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482371508",
            "telephone_number": "248-954-9946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24220 PARKLAWN ST",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482371508",
            "telephone_number": "248-954-9946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNER",
        "first_name": "ROSS",
        "middle_name": "BRADLEY",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-05",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851114516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, MI

Sources for this page

Verify at the official NPI Registry.