Healthcare Provider Details

I. General information

NPI: 1467503938
Provider Name (Legal Business Name): JESSICA ANN BUCHHEISTER LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/13/2007
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 OLD PERCH RD
ROCHESTER HILLS MI
48309-2142
US

IV. Provider business mailing address

500 OLD PERCH RD
ROCHESTER HILLS MI
48309-2142
US

V. Phone/Fax

Practice location:
  • Phone: 248-726-5002
  • Fax:
Mailing address:
  • Phone: 248-726-5002
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6801073694
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: