Diamond Rucker
Social Worker, Clinical in Dearborn, MI. Individual provider (NPI-1).
NPI number1619785474
StatusActive
Last updated in NPPESDec 26, 2024
Details
- NPI
- 1619785474
- Entity type
- Individual (NPI-1)
- Name
- Diamond Rucker
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 26, 2024
- Certification date
- Dec 26, 2024
- Last updated
- Dec 26, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Practice location
290 Town Center Dr Ste 410Dearborn, MI 48126-2765
Phone 313-670-4787
Mailing address
290 Town Center Dr Ste 410Dearborn, MI 48126-2765
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 231 Clinical Social Worker providers in Dearborn · All 7,276 providers in Dearborn
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