Individual provider Active NPI

Rueda Abdirahman, MSW

  • Clinical Social Worker
  • Clinton Township, MI
National Provider Identifier
1114705191
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6851116243 Issued in MI
Practice address
39600 Garfield Rd
Clinton Township, MI 48038-5913
Phone
(734) 600-7873
NPI assigned
Sep 20, 2023
Last updated
Dec 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2025

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 6851116243 MI Primary

Addresses

Primary practice location

39600 Garfield Rd
Clinton Township, MI 48038-5913

Mailing address

39600 Garfield Rd
Clinton Township, MI 48038-5913
Phone (616) 264-9295

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20260210003013 MI Practitioner - Clinical Social Worker 8527547462 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1333 Wealthy St SE Unit
Suite 1
Grand Rapids, MI 49506-2561

34841 Veterans PLZ
Wayne, MI 48184-1733

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6851116243MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pure Psychiatry of Michigan PLLC CurrentSince Jan 15, 2026 Accepting new patients

Locations

2422 Jolly Rd
Ste 100A
Okemos, MI 48864
Phone (517) 853-1358

29600 Northwestern Hwy
Ste 100
Southfield, MI 48034
Phone (248) 353-0050

650 E Big Beaver Rd
Ste C
Troy, MI 48083
Phone (248) 781-8921

34841 Veterans Plz
Wayne, MI 48184
Phone (313) 292-7640

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1695168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765152000000",
    "number": "1114705191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39600 GARFIELD RD",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480385913",
            "telephone_number": "616-264-9295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39600 GARFIELD RD",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480385913",
            "telephone_number": "734-600-7873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDIRAHMAN",
        "first_name": "RUEDA",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-20",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851116243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton Township, MI

Sources for this page

Verify at the official NPI Registry.