Individual provider Active NPI

Isabelle G Ruiz de Luzuriaga, LCSW

  • Clinical Social Worker
  • Boston, MA
National Provider Identifier
1003567876
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1120199 Issued in MA
Practice address
68 Harrison Ave # 60588774
Boston, MA 02111-1929
Phone
(781) 443-8344
Fax
(844) 364-6593
NPI assigned
Jan 13, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 227750 MA
Clinical Social Worker 1041C0700X SW138705 PA
Clinical Social Worker 1041C0700X 1120199 MA Primary

Addresses

Primary practice location

68 Harrison Ave # 60588774
Boston, MA 02111-1929

Mailing address

68 Harrison Ave # 60588774
Boston, MA 02111-1929
Phone (781) 443-8344

Other identifiers 1

IdentifierTypeStateIssuer
1588129001OtherSINGLE SPECIALTY GROUP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220204001087 MA Practitioner - Clinical Social Worker 4284027772 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
North End Community Health Committee, Inc.Group PAC ID 8224043971, 56 clinicians

Practice addresses (Care Compare)

332 Hanover Sreet
Boston, MA 02113-1901

332 Hanover St
Boston, MA 02113-1901
Phone (617) 643-8000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1120199MAMDClinical Social Worker
SW138705PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
North End Community Health Committee Inc CurrentSince Jan 5, 2026 Accepting new patients

Locations

332 Hanover St
Boston, MA 02113
Phone (617) 643-8000

15 Tufts St
Charlestown, MA 02129
Phone (857) 238-1100

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1642032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1003567876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 HARRISON AVE # 60588774",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021111929",
            "telephone_number": "781-443-8344",
            "fax_number": "844-364-6593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 HARRISON AVE # 60588774",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021111929",
            "telephone_number": "781-443-8344",
            "fax_number": "844-364-6593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ DE LUZURIAGA",
        "first_name": "ISABELLE",
        "middle_name": "G",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-13",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "227750",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "SW138705",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1120199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SINGLE SPECIALTY GROUP",
            "identifier": "1588129001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.