Active NPI
Bernadette Rupert, MA, LMSW, CAC-I
- Social Worker
- Detroit, MI
National Provider Identifier
1164517686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6801034915
- Practice address
- 4777 E Outer Drive
Detroit, MI 48234 - Phone
- (313) 369-5000
- Fax
- (313) 369-5545
- NPI assigned
- Oct 3, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6801034915 | MI | Primary |
Addresses
Primary practice location
4777 E Outer Drive
Detroit, MI 48234
Mailing address
28000 Dequindre Rd
Warren, MI 48092
Phone (586) 753-0405
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801034915 | MI | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164517686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28000 DEQUINDRE RD",
"city": "WARREN",
"state": "MI",
"postal_code": "48092",
"telephone_number": "586-753-0405",
"fax_number": "586-753-0404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4777 E OUTER DRIVE",
"city": "DETROIT",
"state": "MI",
"postal_code": "48234",
"telephone_number": "313-369-5000",
"fax_number": "313-369-5545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUPERT",
"first_name": "BERNADETTE",
"credential": "MA, LMSW, CAC-I",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6801034915",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.