Organization Active NPI

Elissa Ruth Driker LMSW LLC

  • Clinical Social Worker
  • Royal Oak, MI
National Provider Identifier
1225333032
Registry record updated Jan 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801067068 Issued in MI
Legal business name
ELISSA RUTH DRIKER LMSW LLC
Practice address
628 E Parent Ave
Suite 102
Royal Oak, MI 48067-3765
Phone
(248) 376-5330
NPI assigned
Jan 26, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2011

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

Authorized official

Name
Elissa Driker
Title
Member
Phone
(248) 376-5330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 6801067068 MI Primary

Addresses

Primary practice location

628 E Parent Ave
Suite 102
Royal Oak, MI 48067-3765

Mailing address

628 E Parent Ave
Suite 102
Royal Oak, MI 48067-3765

National Provider Directory

National Provider Directory

Locations

628 E Parent Ave
Ste 102
Royal Oak, MI 48067
Phone (248) 376-5330

NPI Registry JSON

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

{
    "created_epoch": "1296000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296000000000",
    "number": "1225333032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "628 E PARENT AVE",
            "address_2": "SUITE 102",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480673765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 E PARENT AVE",
            "address_2": "SUITE 102",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480673765",
            "telephone_number": "248-376-5330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELISSA RUTH DRIKER LMSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-26",
        "last_updated": "2011-01-26",
        "status": "A",
        "authorized_official_last_name": "DRIKER",
        "authorized_official_first_name": "ELISSA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "248-376-5330"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801067068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Oak, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2011; 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.