Individual provider Active NPI

Gretchen L Rusnak Miller, LISW-S, MSSA

  • Clinical Social Worker
  • North Canton, OH
National Provider Identifier
1407089899
Registry record updated Sep 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.1100068-SUPV Issued in OH
Practice address
254 Bonnett St SW
North Canton, OH 44720-4204
Phone
(330) 354-8283
NPI assigned
Sep 1, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I.1100068-SUPV OH Primary

Addresses

Primary practice location

254 Bonnett St SW
North Canton, OH 44720-4204

Mailing address

254 Bonnett St SW
North Canton, OH 44720-4204
Phone (330) 354-8283

Other names 1

  • Miss Gretchen L Rusnak Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
0800370OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pathway Caring for Children Past Accepting new patients
Pathway Caring for Childen Past Accepting new patients

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": "1251763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788739200000",
    "number": "1407089899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 BONNETT ST SW",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447204204",
            "telephone_number": "330-354-8283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 BONNETT ST SW",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447204204",
            "telephone_number": "330-354-8283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSNAK MILLER",
        "first_name": "GRETCHEN",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "LISW-S, MSSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-01",
        "last_updated": "2026-09-07",
        "certification_date": "2026-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1100068-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GRETCHEN",
            "last_name": "RUSNAK",
            "middle_name": "L",
            "prefix": "MISS",
            "credential": "LSW, MSSA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in North Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2026; 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.