Jerome X Avrushin, LMSW
Individual provider Active NPI Clinical Social Worker · Clarkston, MI
NPI 1851325815 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1851325815
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 6801011481 (MI)
- Practice address
- 6770 Dixie Hwy
Suite 312
Clarkston, MI 48346-2087 - Phone
- (248) 922-2300
- Fax
- (248) 922-2304
- NPI assigned
- Jul 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801011481 | MI | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801011481 | MI | Yes |
Addresses
Primary practice location
6770 Dixie Hwy
Suite 312
Clarkston, MI 48346-2087
Mailing address
7256 Creeks Bend CT
West Bloomfield, MI 48322-3523
Phone (248) 539-0639
Other providers in Clarkston, MI
- Ramsey Attar
- Melonie Attisha
- Bethany Joy Atwell
- Pamela Sue Aughe
- Angela Aguilar Avery
- Adesuwa Cynthia Awaye
- B. G. Patel, M.D. PLC
- Laurie Babcock
- Fallon Courtney Babe-Dudek
- Christine Mase Babich
All providers in Clarkston, MI · Clinical Social Worker in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.