Active NPI
Isabelle G Ruiz de Luzuriaga, LCSW
- Clinical Social Worker
- Boston, MA
National Provider Identifier
1003567876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1120199
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588129001 | Other | SINGLE 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1120199 | MA | MD | Clinical Social Worker |
| SW138705 | PA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North End Community Health Committee Inc | Current | 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.
-
- Public Health & General Preventive Medicine Physician
- Boston, MA
- NPI 1780606608
MA
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.