Juliet Hope Gustafson, LLMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801107105 Issued in MI

Practice address

20303 Kelly Rd
Detroit, MI 48225-1206

Phone

(313) 719-7078

NPI assigned

Jun 23, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1592870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592870400000",
    "number": "1699391912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 PRENTIS ST APT 16",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482011173",
            "telephone_number": "734-474-5085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20303 KELLY RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482251206",
            "telephone_number": "313-719-7078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUSTAFSON",
        "first_name": "JULIET",
        "middle_name": "HOPE",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-23",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801107105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LARA",
            "identifier": "6801107105",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Beth Gurski, PAC
• Dincer C Gurun, DDS
• Shaelyn Nicole Gurzick, R.D.
• Laura M. Gusba, C.N.P.
• Nina KB Gust
• James Gutai, MD
• Murali Guthikonda, MD
• Stuart Trent Guthrie, MD
• Raul Alfonso Gutierrez Chavez, MD
• Jorge A. Gutierrez, M.D.

• Clinical Social Worker in Detroit, MI
• Providers in Detroit, 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 Jun 23, 2020; 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.