Active NPI
Gretchen Lynn Rouster, L.M.S.W.
- Social Worker
- Ann Arbor, MI
National Provider Identifier
1578699831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6801058490
- Practice address
- 3830 Packard St
Suite 250
Ann Arbor, MI 48108-2051 - Phone
- (734) 657-5247
- Fax
- (734) 975-2909
- NPI assigned
- Feb 23, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 6801058490 | MI | Primary |
Addresses
Primary practice location
3830 Packard St
Suite 250
Ann Arbor, MI 48108-2051
Mailing address
466 Marion St
Ypsilanti, MI 48197-2015
Phone (734) 480-2071
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071017000205 | MI | Practitioner - Clinical Social Worker | 0840386462 | Practice locations: Ypsilanti, MI |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
466 Marion St
Ypsilanti, MI 48197-2015
Phone (734) 657-5247
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801058490 | MI | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1578699831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "466 MARION ST",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481972015",
"telephone_number": "734-480-2071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3830 PACKARD ST",
"address_2": "SUITE 250",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481082051",
"telephone_number": "734-657-5247",
"fax_number": "734-975-2909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROUSTER",
"first_name": "GRETCHEN",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "L.M.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6801058490",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.