Active NPI
Ruth Sudilovsky-Pecha, LISW-S
- Clinical Social Worker
- Cleveland, OH
National Provider Identifier
1013380005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I-0007475
- Practice address
- 526 Superior Ave E
#1400
Cleveland, OH 44114-1902 - Phone
- (216) 619-6194
- NPI assigned
- Nov 12, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | I-0007475 | OH | Primary |
Addresses
Primary practice location
526 Superior Ave E
#1400
Cleveland, OH 44114-1902
Mailing address
526 Superior Ave E
#1400
Cleveland, OH 44114-1902
Phone (216) 619-6194
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 1, 2024 through Apr 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I-0007475 | OH | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447286400000",
"number": "1013380005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "526 SUPERIOR AVE E",
"address_2": "#1400",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441141902",
"telephone_number": "216-619-6194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "526 SUPERIOR AVE E",
"address_2": "#1400",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441141902",
"telephone_number": "216-619-6194"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUDILOVSKY-PECHA",
"first_name": "RUTH",
"credential": "LISW-S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-12",
"last_updated": "2015-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I-0007475",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.