Active NPI
Jennifer Michelle-Ruso Fronek, LMSW
- Social Worker
- Westland, MI
National Provider Identifier
1205190824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6801094483
- Practice address
- 35300 Nankin Blvd
Suite 601
Westland, MI 48185-7222 - Phone
- (888) 355-5433
- NPI assigned
- Jun 28, 2012
- 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 | 6801094483 | MI | Primary |
Addresses
Primary practice location
35300 Nankin Blvd
Suite 601
Westland, MI 48185-7222
Mailing address
630 Hill St
Milford, MI 48381-1753
Phone (248) 961-9424
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801094483 | MI | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1419897600000",
"number": "1205190824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "630 HILL ST",
"city": "MILFORD",
"state": "MI",
"postal_code": "483811753",
"telephone_number": "248-961-9424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35300 NANKIN BLVD",
"address_2": "SUITE 601",
"city": "WESTLAND",
"state": "MI",
"postal_code": "481857222",
"telephone_number": "888-355-5433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRONEK",
"first_name": "JENNIFER",
"middle_name": "MICHELLE-RUSO",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-28",
"last_updated": "2014-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6801094483",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.