Active NPI
Jennifer Rusciano
- Social Worker
- Royal Oak, MI
National Provider Identifier
1558054874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 1010 N Campbell Rd Ste 4
Royal Oak, MI 48067-1570 - Phone
- (248) 291-7709
- NPI assigned
- Jun 1, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
1010 N Campbell Rd Ste 4
Royal Oak, MI 48067-1570
Mailing address
1010 N Campbell Rd Ste 4
Royal Oak, MI 48067-1570
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michigan Progressive Health | Current | Accepting new patients |
Locations
1010 N Campbell Rd
Ste 4
Royal Oak, MI 48067
Phone (248) 291-7709
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.
-
- Clinic/Center
- Royal Oak, MI
- NPI 1376053108
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685577600000",
"number": "1558054874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 N CAMPBELL RD STE 4",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480671570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 N CAMPBELL RD STE 4",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480671570",
"telephone_number": "248-291-7709"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSCIANO",
"first_name": "JENNIFER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-01",
"last_updated": "2023-06-01",
"certification_date": "2023-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Royal Oak, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.