Donna Rust, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1668 Issued in OK

Practice address

5721 S Cedar Ave
Broken Arrow, OK 74011-4814

Phone

(918) 455-7771

NPI assigned

Aug 15, 2007

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)

Enrolled

State licenses

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

{
    "created_epoch": "1187136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355961600000",
    "number": "1992997860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5721 S CEDAR AVE",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740114814",
            "telephone_number": "918-455-7771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5721 S CEDAR AVE",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740114814",
            "telephone_number": "918-455-7771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUST",
        "first_name": "DONNA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-15",
        "last_updated": "2012-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "1668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chassity Rubert, PTA
• Sarah Rushing
• Lanette Kaye Russell, LPC
• Linda J. Russell, LPC
• Lyan Russell, PHARMD
• Caleb Paul Ruth
• Kelsey Rutherford, OTR/L
• Matthew Aaron Ruyle, COTA
• Jacob Austin Ruzicka, MD
• S-Q Home Care Specialties Inc

• Clinical Social Worker in Broken Arrow, OK
• Providers in Broken Arrow, OK by specialty
• Clinical Social Worker in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2012; 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.