Theresa Ann Ruelle, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801084321 Issued in MI

Practice address

18554 Northland Dr
Big Rapids, MI 49307-8788

Phone

(231) 250-4335

Fax

(231) 796-5450

NPI assigned

May 29, 2007

Last updated

Sep 17, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284681600000",
    "number": "1821299769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8744 OAK AVE",
            "city": "PARIS",
            "state": "MI",
            "postal_code": "493389619",
            "telephone_number": "231-796-5450",
            "fax_number": "231-796-5450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18554 NORTHLAND DR",
            "city": "BIG RAPIDS",
            "state": "MI",
            "postal_code": "493078788",
            "telephone_number": "231-250-4335",
            "fax_number": "231-796-5450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUELLE",
        "first_name": "THERESA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-29",
        "last_updated": "2010-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801084321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Big Rapids, MI
• Providers in Big Rapids, 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 Sep 17, 2010; 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.