Individual provider Active NPI

Jamie Leah Fiorucci, LMSW

  • Clinical Social Worker
  • Ironwood, MI
National Provider Identifier
1295848737
Registry record updated Mar 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801106424 Issued in MI
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

Updated by the provider on Mar 26, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
6801106424MIMDClinical Social Worker
6802082257MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Caught Dreamin' Therapy, LLC Clinical CurrentSince Jan 7, 2024 Accepting new patients
R Hill Behavioral Health PLLC Clinical CurrentSince Mar 29, 2020 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.

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.

Verify at the official NPI Registry.