Jasmonique Collette Norman-Pruitt

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

23999 W 10 Mile Rd # 220
Southfield, MI 48033-3158

Phone

(248) 327-6593

NPI assigned

Jun 7, 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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Life Water Support Services LLC

  • Professional Counselor
  • Southfield, MI
  • NPI 1598134983
  NPD

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

{
    "created_epoch": "1654560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1891424701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19383 HAWTHORNE ST",
            "city": "HIGHLAND PARK",
            "state": "MI",
            "postal_code": "482031310",
            "telephone_number": "313-482-5079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23999 W 10 MILE RD # 220",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480333158",
            "telephone_number": "248-327-6593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORMAN-PRUITT",
        "first_name": "JASMONIQUE",
        "middle_name": "COLLETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-07",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Non Opioid Relief LLC
• Wassim E Nona, MD
• Elise Marie Noonan
• Britannyka Noorwood
• Gabrielle Noory, D.D.S.
• Natalia Norman
• Kea Norrell-Aitch
• Erica Norris
• Gina Linnet Norris, M.A., LLPC
• Lanetia Marie Norris, LMSW, ACSW

• Social Worker in Southfield, MI
• Providers in Southfield, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.