Jessica Renne Scratch, LLMSW CAADC-DP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6851117794 Issued in MI

Practice address

2 Crocker Blvd Ste 101
Mount Clemens, MI 48043-2558

Phone

(586) 468-2266

NPI assigned

May 1, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Comprehensive Youth Services Inc

  • Community/Behavioral Health Agency
  • Mount Clemens, MI
  • NPI 1750400065
  NPD

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

{
    "created_epoch": "1714521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1104673706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CROCKER BLVD STE 101",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480432558",
            "telephone_number": "586-468-2266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CROCKER BLVD STE 101",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480432558",
            "telephone_number": "586-468-2266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCRATCH",
        "first_name": "JESSICA",
        "middle_name": "RENNE",
        "credential": "LLMSW CAADC-DP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-01",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851117794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Connor Steven Schury, DO
• Robert Lawrence Schwarb, DDS
• Lynn Schwartz
• Kurt Logan Schwieters, DO
• Bradley R Scott, MA, LPC, CAADC
• Brittany Scruggs
• Secretkeepers PLLC
• Kirandeep Sehmi, MD
• Travis Singh Sekhon, DO
• Select Specialty Hospital - Macomb County Inc

• Clinical Social Worker in Mount Clemens, MI
• Providers in Mount Clemens, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.