Jordan Cusumano, LMSW, LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

JORDAN CUSUMANO, LMSW, LLC

Practice address

8063 Challis Rd
Brighton, MI 48116-7446

Phone

(734) 489-1518

NPI assigned

Mar 19, 2021

Organization subpart

No

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

Authorized official

Name

Jordan Cusumano, LMSW

Title

Owner

Phone

(734) 489-1518

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jordan Sheppard-Cusumano, LMSW

  • Clinical Social Worker
  • Ann Arbor, MI
  • NPI 1386289676
  NPD

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

{
    "created_epoch": "1616112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616112000000",
    "number": "1437735610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 HIGGINS ST",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "488431835",
            "telephone_number": "313-174-3317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8063 CHALLIS RD",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481167446",
            "telephone_number": "734-489-1518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORDAN CUSUMANO, LMSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-19",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A",
        "authorized_official_last_name": "CUSUMANO",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-489-1518",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carrie Lynn Johnston, MA, TLLP
• Rebecca Ruth Jokinen, MA, LPC, NCC
• Sidney M Jones
• Valerie Lisa Jones, MA, LPC
• Mark A. Jonker, M.D.
• Joseph a. Rapai, DDS, PC
• Joseph Bono, PH.D., P.C.
• Kathleen Ann Joyce-McCrory, SLP
• Julia Nicole Stroud Jude
• Julie Kay, LLC Dba Mend Physical Therapy

• Adult Mental Health Clinic/Center in Brighton, MI
• Providers in Brighton, MI by specialty
• Adult Mental Health Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2021; 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.