Michael Andrew Jushak, LMSW, CAADC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801096071 Issued in MI

Practice address

120 South Main Street
Suite C
Milford, MI 48381

Phone

(248) 529-6383

NPI assigned

Feb 13, 2014

Last updated

Feb 21, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sacred Heart Rehabilitation Center, Inc.

  • Substance Abuse Rehabilitation Facility
  • Richmond, MI
  • NPI 1750363305
  Medicare reassignment NPD
• Milford Counseling Inc.

  • Community/Behavioral Health Agency
  • Milford, MI
  • NPI 1639459514
  NPD (past)

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

{
    "created_epoch": "1392249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676937600000",
    "number": "1679997464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 S MAIN ST",
            "city": "MILFORD",
            "state": "MI",
            "postal_code": "483811975",
            "telephone_number": "248-529-6383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 SOUTH MAIN STREET",
            "address_2": "SUITE C",
            "city": "MILFORD",
            "state": "MI",
            "postal_code": "48381",
            "telephone_number": "248-529-6383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUSHAK",
        "first_name": "MICHAEL",
        "middle_name": "ANDREW",
        "credential": "LMSW, CAADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-02-13",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801096071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanitha Isaac Jeyaraj, MD
• Sabrina Johnson
• Mary Johnstone
• Jordan Rosenbrook DDS PLLC
• Anthony L Joseph, M.D.
• Josie Kaars-Mulholland
• Bongseok Kang
• Mark Z Karabajakian, DO
• Thomas John Karpinski Jr.
• Jennifer Lynn Kasemeyer, ATC

• Clinical Social Worker in Milford, MI
• Providers in Milford, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.