Active NPI
Jamie Leah Fiorucci, LMSW
- Clinical Social Worker
- Ironwood, MI
National Provider Identifier
1295848737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801106424
- Practice address
- 652 E Cloverland Dr Ste 2
Ironwood, MI 49938-1422 - Phone
- (906) 390-0363
- Fax
- (906) 884-4794
- NPI assigned
- Aug 17, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801106424 | MI | Primary |
| Clinical Social Worker | 1041C0700X | 6802082257 | MI |
Addresses
Primary practice location
652 E Cloverland Dr Ste 2
Ironwood, MI 49938-1422
Mailing address
PO Box 309
Watersmeet, MI 49969-0309
Phone (906) 390-0363
Other practice location 1
901 W. Memorial Dr.
Houghton, MI 49931
Phone (906) 884-4804
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 |
|---|---|---|---|
| 6801106424 | MI | MD | Clinical Social Worker |
| 6802082257 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caught Dreamin' Therapy, LLC | Clinical | Current | Accepting new patients |
| R Hill Behavioral Health PLLC | Clinical | Current | Accepting new patients |
Locations
652 E Cloverland Dr
Ste 2
Ironwood, MI 49938
Phone (906) 281-6476
1025 W Washington St
Ste B
Marquette, MI 49855
Phone (906) 256-2951
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Adult Mental Health Clinic/Center
- Marquette, MI
- NPI 1861122152
Clinical
-
- Clinical Social Worker
- Ironwood, MI
- NPI 1891338190
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585180800000",
"number": "1295848737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 309",
"city": "WATERSMEET",
"state": "MI",
"postal_code": "499690309",
"telephone_number": "906-390-0363",
"fax_number": "906-884-4794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "652 E CLOVERLAND DR STE 2",
"city": "IRONWOOD",
"state": "MI",
"postal_code": "499381422",
"telephone_number": "906-390-0363",
"fax_number": "906-884-4794"
}
],
"practiceLocations": [
{
"address_1": "901 W. Memorial Dr.",
"address_purpose": "LOCATION",
"city": "Houghton",
"state": "MI",
"postal_code": "49931",
"country_code": "US",
"telephone_number": "906-884-4804",
"fax_number": "906-483-0269",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FIORUCCI",
"first_name": "JAMIE",
"middle_name": "LEAH",
"name_prefix": "Mrs.",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-17",
"last_updated": "2020-03-26",
"certification_date": "2020-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801106424",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6802082257",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ironwood, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.