Organization Active NPI

Jacque Ruch, LLC

  • Clinical Social Worker
  • Sarasota, FL
National Provider Identifier
1023639499
Registry record updated Apr 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
JACQUE RUCH, LLC
Practice address
3205 Southgate Cir Ste 19
Sarasota, FL 34239-5514
Phone
(815) 243-8332
NPI assigned
Apr 27, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2020

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

Authorized official

Name
Jacquelyn J Ruch, LCSW 8152438332
Title
Owner
Phone
(815) 243-8332

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

3205 Southgate Cir Ste 19
Sarasota, FL 34239-5514

Mailing address

11519 Sweetgrass Dr
Bradenton, FL 34212-2522
Phone (815) 243-8332

National Provider Directory

National Provider Directory

Locations

3205 Southgate Cir
Ste 19
Sarasota, FL 34239
Phone (815) 243-5332

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1587945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587945600000",
    "number": "1023639499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11519 SWEETGRASS DR",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342122522",
            "telephone_number": "815-243-8332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3205 SOUTHGATE CIR STE 19",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342395514",
            "telephone_number": "815-243-8332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACQUE RUCH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-27",
        "last_updated": "2020-04-27",
        "certification_date": "2020-04-27",
        "status": "A",
        "authorized_official_last_name": "RUCH",
        "authorized_official_first_name": "JACQUELYN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-243-8332",
        "authorized_official_credential": "LCSW  8152438332"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.