Individual provider Active NPI

Rustie Mayes, LMSW

  • Clinical Social Worker
  • Caro, MI
National Provider Identifier
1629617287
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
1332 Prospect Ave.
Caro, MI 48723
Phone
(989) 673-6191
Fax
(989) 872-1801
NPI assigned
Dec 31, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X MI Primary

Addresses

Primary practice location

1332 Prospect Ave.
Caro, MI 48723

Mailing address

97 N Scott Rd
Bad Axe, MI 48413-8840
Phone (989) 372-5496

Other names 1

  • Rustie Stebbins Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241220002711 MI Practitioner - Clinical Social Worker 0143757799 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tuscola County Community Mental Health Services BoardGroup PAC ID 0941193619, 11 clinicians

Practice addresses (Care Compare)

1332 Prospect Ave
Caro, MI 48723-9288
Phone 98967361913306

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tuscola County Community Mental Health Services Board CurrentSince Oct 22, 2024 Accepting new patients

Locations

1332 Prospect Ave
Caro, MI 48723
Phone (989) 673-6191

323 N State St
Caro, MI 48723
Phone (989) 673-6191

Organizations & group practices 2

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": "1577750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1629617287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 N SCOTT RD",
            "city": "BAD AXE",
            "state": "MI",
            "postal_code": "484138840",
            "telephone_number": "989-372-5496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1332 PROSPECT AVE.",
            "city": "CARO",
            "state": "MI",
            "postal_code": "48723",
            "telephone_number": "989-673-6191",
            "fax_number": "989-872-1801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYES",
        "first_name": "RUSTIE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-31",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RUSTIE",
            "last_name": "STEBBINS",
            "credential": "LLMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Caro, MI

Sources for this page

Verify at the official NPI Registry.