Pamela Kay Rusco, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2008 Issued in OK

Practice address

100 S Bliss Avenue
Cherokee Nation Behavioral Health
Tahlequah, OK 74464

Phone

(918) 458-3170

Fax

(918) 458-3610

NPI assigned

Mar 14, 2008

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)

Enrolled

State licenses

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

{
    "created_epoch": "1205452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205452800000",
    "number": "1194996397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S BLISS AVENUE",
            "address_2": "CHEROKEE NATION BEHAVIORAL HEALTH",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "74464",
            "telephone_number": "918-458-3170",
            "fax_number": "918-458-3610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S BLISS AVENUE",
            "address_2": "CHEROKEE NATION BEHAVIORAL HEALTH",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "74464",
            "telephone_number": "918-458-3170",
            "fax_number": "918-458-3610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSCO",
        "first_name": "PAMELA",
        "middle_name": "KAY",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-14",
        "last_updated": "2008-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "2008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Cinnamon Roybal-Gower
• Cora Nadine Rozell, ME
• Marlena Sue Rubio-Solis, PRSS
• Bryce Rudek, ATC
• Jennifer Ann Ruppel, BSW
• Joe Russell, D.O.
• Stacy Lynn Rutherford, DNAP
• Krisstyn Elissa Ryals, LPC, CANDIDATE
• Monica L Ryals, BS
• Carol Suzanne Saffell, PHARM. D

• Clinical Social Worker in Tahlequah, OK
• Providers in Tahlequah, OK by specialty
• Clinical Social Worker in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2008; 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.