Active NPI
Jacob William Pruitt, MSW
- School Social Worker
- Oxford, MI
National Provider Identifier
1700796463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Social Worker
- License
- 6851122527
- Practice address
- 1400 E Lakeville Rd
Oxford, MI 48371-5253 - Phone
- (248) 969-5169
- NPI assigned
- Sep 8, 2026
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | 6851122527 | MI | Primary |
Addresses
Primary practice location
1400 E Lakeville Rd
Oxford, MI 48371-5253
Mailing address
6242 Walker Dr
Troy, MI 48085-1347
Phone (248) 909-0593
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788825600000",
"number": "1700796463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6242 WALKER DR",
"city": "TROY",
"state": "MI",
"postal_code": "480851347",
"telephone_number": "248-909-0593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 E LAKEVILLE RD",
"city": "OXFORD",
"state": "MI",
"postal_code": "483715253",
"telephone_number": "248-969-5169"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRUITT",
"first_name": "JACOB",
"middle_name": "WILLIAM",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-09-08",
"last_updated": "2026-09-08",
"certification_date": "2026-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "MI",
"license": "6851122527",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oxford, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.