Active NPI
Lenore Ann Rust, LICSW
- Clinical Social Worker
- Paxton, MA
National Provider Identifier
1992862833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 115753
- Practice address
- 50 Sunset LN
Paxton, MA 01612 - Phone
- (508) 849-3293
- NPI assigned
- Jan 2, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 231767 | MA | |
| Clinical Social Worker | 1041C0700X | 115753 | MA | Primary |
Addresses
Primary practice location
50 Sunset LN
Paxton, MA 01612
Mailing address
50 Sunset LN
Paxton, MA 01612-1198
Phone (508) 849-3293
Other practice location 1
172 Lincoln St
Worcester, MA 01605-3750
Phone (508) 770-0511 ext. 111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 115753 | MA | MD | Clinical Social Worker |
| 231767 | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531785600000",
"number": "1992862833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 SUNSET LN",
"city": "PAXTON",
"state": "MA",
"postal_code": "016121198",
"telephone_number": "508-849-3293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 SUNSET LN",
"city": "PAXTON",
"state": "MA",
"postal_code": "01612",
"telephone_number": "508-849-3293"
}
],
"practiceLocations": [
{
"address_1": "172 Lincoln St",
"address_purpose": "LOCATION",
"city": "Worcester",
"state": "MA",
"postal_code": "016053750",
"country_code": "US",
"telephone_number": "508-770-0511 x111",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUST",
"first_name": "LENORE",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-02",
"last_updated": "2018-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "231767",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "115753",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Paxton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.