Individual provider Active NPI

Debra Kusluski, MSSA, LMSW

  • Social Worker
  • Novi, MI
National Provider Identifier
1427432830
Registry record updated Mar 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801097444 Issued in MI
Practice address
41700 Gardenbrook Rd Ste 110
Novi, MI 48375-1320
Phone
(800) 693-1916
NPI assigned
Jul 15, 2015
Last updated
Mar 27, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801097444 MI Primary
Clinical Social Worker 1041C0700X 6801097444 MI

Addresses

Primary practice location

41700 Gardenbrook Rd Ste 110
Novi, MI 48375-1320

Mailing address

1050 Wilshire Dr Ste 175
Troy, MI 48084-1590
Phone (800) 693-1916

Other practice location 1

16200 19 Mile Rd
Clinton Township, MI 48038-1103
Phone (586) 263-8904 ext. 38904

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801097444MIMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1436918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553644800000",
    "number": "1427432830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 WILSHIRE DR STE 175",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480841590",
            "telephone_number": "800-693-1916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41700 GARDENBROOK RD STE 110",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483751320",
            "telephone_number": "800-693-1916"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16200 19 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Clinton Township",
            "state": "MI",
            "postal_code": "480381103",
            "country_code": "US",
            "telephone_number": "586-263-8904 x38904",
            "fax_number": "586-416-7431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUSLUSKI",
        "first_name": "DEBRA",
        "credential": "MSSA, LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-15",
        "last_updated": "2019-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801097444",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801097444",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

Verify at the official NPI Registry.