Russom Recovery Therapies LLC
NPI 1073154837ActiveOrganization· Social Worker· Grand Rapids, MI
Social Worker in Grand Rapids, Michigan, registered in NPPES in October 2019. The authorized official on file is Mary Beth Houpt, Credentialing. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1073154837 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 3, 2019 |
| Last updated in NPPES | Mar 26, 2025 |
| Certified by provider | Mar 26, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker Primary | 104100000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MI) |
|---|
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