Tristen John Jorah, LLMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6851116932 Issued in MI

Practice address

3260 Coolidge Hwy
Berkley, MI 48072-1694

Phone

(248) 290-3180

NPI assigned

Aug 7, 2023

Sex

Male

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1691366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1295417475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 N CAMPBELL RD APT 114",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480671538",
            "telephone_number": "586-321-5733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3260 COOLIDGE HWY",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480721694",
            "telephone_number": "248-290-3180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORAH",
        "first_name": "TRISTEN",
        "middle_name": "JOHN",
        "credential": "LLMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-07",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851116932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey T. Klein, D.P.M., P.C.
• Jodie Heicklen LMSW, PLLC
• Jessica Renee Johnson, AT
• Sparkle Crujhon Johnson, LLMSW
• Matthew Jones, M.D.
• Diora Christina Jouja, D.D.S.
• Laurin Becca Jozlin, LMSW
• Julie M Forte DDS PC
• Julie M Forte DDS PC
• Justin K Skrzynski, MD, PLLC

• Clinical Social Worker in Berkley, MI
• Providers in Berkley, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; 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.