Individual provider Active NPI

Renee Ruhlman, LMSW

  • Clinical Social Worker
  • Clinton Township, MI
National Provider Identifier
1417547688
Registry record updated Apr 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801087615 Issued in MI
Practice address
22800 Hall Rd Ste 220F
Clinton Township, MI 48036-4808
Phone
(586) 871-5154
NPI assigned
Jan 21, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2023

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 6801087615 MI Primary

Addresses

Primary practice location

22800 Hall Rd Ste 220F
Clinton Township, MI 48036-4808

Mailing address

22800 Hall Rd Ste 220F
Clinton TWP, MI 48036-4808
Phone (868) 715-1545

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230803003967 MI Practitioner - Clinical Social Worker 6709247984 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Wayne State University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

22800 Hall Rd
Suite 220F
Clinton TWP, MI 48036-4808
Phone (586) 871-5154

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801087615MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Renee'S Peace LLC Clinical CurrentSince Jun 24, 2023 Accepting new patients

Locations

22800 Hall Rd
Ste 220F
Clinton Twp, MI 48036
Phone (586) 871-5154

Organizations & group practices 1

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": "1611187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681689600000",
    "number": "1417547688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22800 HALL RD STE 220F",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480364808",
            "telephone_number": "868-715-1545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22800 HALL RD STE 220F",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480364808",
            "telephone_number": "586-871-5154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUHLMAN",
        "first_name": "RENEE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-21",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801087615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton Township, MI

Sources for this page

Verify at the official NPI Registry.