Diana Rusin

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801117047 Issued in MI

Practice address

1424 E 11 Mile Rd
Royal Oak, MI 48067-2026

Phone

(248) 548-4044

NPI assigned

Jan 22, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1611273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1851981963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 E 11 MILE RD",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480713701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1424 E 11 MILE RD",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480672026",
            "telephone_number": "248-548-4044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSIN",
        "first_name": "DIANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-22",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801117047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trevor Rupert
• Matilde Dino Ruppel, BSN, RN, CCRN
• Courtney Rusch
• Jennifer Rusciano
• Collin Michael Rush, MD
• Amanda Michele Russell, RRT
• Anthony Michael Russo, CRNA
• Leah Anne Rust
• Kristine Rutkowski
• Leonila Rutkowski, CRNA

• Clinical Social Worker in Royal Oak, MI
• Providers in Royal Oak, 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, 2024; 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.