Individual provider Active NPI

Jessica Haarer, MSW

  • Social Worker
  • Hillsdale, MI
National Provider Identifier
1588198584
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801116683 Issued in MI
Practice address
239 W Carleton Rd
Hillsdale, MI 49242-5033
Phone
(260) 444-6813
NPI assigned
Apr 17, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801116683 MI Primary

Addresses

Primary practice location

239 W Carleton Rd
Hillsdale, MI 49242-5033

Mailing address

433 Beck St
Jonesville, MI 49250-9471
Phone (260) 444-6813

Other names 1

  • Jessica Musselman Former name

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

State licenses

LicenseStateTypeSpecialty
6801116683MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Waves of Change, LLC Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1492387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1588198584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 BECK ST",
            "city": "JONESVILLE",
            "state": "MI",
            "postal_code": "492509471",
            "telephone_number": "260-444-6813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 W CARLETON RD",
            "city": "HILLSDALE",
            "state": "MI",
            "postal_code": "492425033",
            "telephone_number": "260-444-6813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAARER",
        "first_name": "JESSICA",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-17",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801116683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "MUSSELMAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hillsdale, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.

Verify at the official NPI Registry.