Organization Active NPI

Renee's Peace LLC

  • Clinical Social Worker
  • Clinton TWP, MI
National Provider Identifier
1538860812
Registry record updated Mar 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
RENEE'S PEACE LLC
Practice address
22800 Hall Rd Ste 220F
Clinton TWP, MI 48036-4808
Phone
(586) 871-5154
NPI assigned
Mar 14, 2023
Last updated
Mar 14, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2023

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

Authorized official

Name
Renee Ruhlman, LMSWNPI 1417547688
Title
Owner and LMSW
Phone
(586) 871-5154

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary
Multi-Specialty Clinic/Center 261QM1300X

Addresses

Primary practice location

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

Mailing address

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230803003910 MI Part B Supplier - Clinic/Group Practice 5890156079 Receives reassigned benefits from 1 practitioner
Practice locations: Clinton TWP, MI

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1678752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678752000000",
    "number": "1538860812",
    "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": "586-871-5154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22800 HALL RD STE 220F",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480364808",
            "telephone_number": "586-871-5154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEE'S PEACE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-14",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A",
        "authorized_official_last_name": "RUHLMAN",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "OWNER AND LMSW",
        "authorized_official_telephone_number": "586-871-5154",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton TWP, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.