Jessica Gupta, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801093267 Issued in MI

Practice address

115 Walnut Blvd
Suite 2
Rochester, MI 48307-2086

Phone

(248) 766-0818

Fax

(248) 650-3225

NPI assigned

Nov 12, 2010

Sex

Female

Sole proprietor

Yes

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": "1289520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480464000000",
    "number": "1922309541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 WALNUT BLVD",
            "address_2": "SUITE 2",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483072086",
            "telephone_number": "248-766-0818",
            "fax_number": "248-650-3225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 WALNUT BLVD",
            "address_2": "SUITE 2",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483072086",
            "telephone_number": "248-766-0818",
            "fax_number": "248-650-3225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "JESSICA",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-12",
        "last_updated": "2016-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1000350",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801093267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregg D. Bobier, DMD, PC
• Harbhajan Kaur Grewal, MD
• Sarah Siemers Guadalupe, LMSW
• Kelly Marie Gumbrecht, M.D.
• Aditi Gupta
• Krishna Kumari Gupta, MD
• Michelle R Gustafson, FNP-C
• Maria Jose Gutierrez Briones, MD
• H.K. Grewal MD PC
• Robert W Haag, DDS

• Clinical Social Worker in Rochester, MI
• Providers in Rochester, 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 Nov 30, 2016; 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.