Mary Rust, LCSW
Social Worker, Clinical in Milwaukee, WI. Individual provider (NPI-1).
NPI number1619996972
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1619996972
- Entity type
- Individual (NPI-1)
- Name
- Mary Rust
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 18, 2006
- Last updated
- Jul 8, 2007
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 | 4122-123 | WI | Yes |
Practice location
600 E Mason StSuite 401
Milwaukee, WI 53202-3870
Phone 414-224-3737 · Fax 414-224-3725
Mailing address
600 E Mason StSuite 401
Milwaukee, WI 53202-3870
Phone 414-224-3737 · Fax 414-224-3725
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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