Jean Marie Rutherford, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801034643 Issued in MI

Practice address

1159 S Harbor Dr Unit C4
Grand Haven, MI 49417-1777

Phone

(616) 402-5674

NPI assigned

Jan 14, 2022

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1642118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642118400000",
    "number": "1851042402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1159 S HARBOR DR UNIT C4",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494171777",
            "telephone_number": "616-402-5674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1159 S HARBOR DR UNIT C4",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494171777",
            "telephone_number": "616-402-5674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTHERFORD",
        "first_name": "JEAN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-14",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801034643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheryl Jane Rozema, PH.D., LLP
• Ronda Victoria Ruscett, OD
• Zoie Theodora Russell
• Martin T Russo Jr., DO
• Donald Ezra Rutherford, D.O.
• RX Optical Laboratories, Inc.
• Ryan Klanseck, DO
• Christine Mary Ryan, D.O.
• Jennifer Nicole Rycenga, LPTA
• Krista Joy Sall, COTA

• Clinical Social Worker in Grand Haven, MI
• Providers in Grand Haven, 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 Jan 14, 2022; 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.