Miriam Jeannette Ruiz, LCSW, CADC II

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

117673 Issued in CA

Practice address

12110 Slauson Ave Ste 16
Santa Fe Springs, CA 90670-8656

Phone

(323) 524-9347

NPI assigned

Apr 17, 2017

Last updated

Mar 17, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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

• Mindhealth Wellness Inc.

  • Community/Behavioral Health Agency
  • Montebello, CA
  • NPI 1225728645
  NPD
• Asian American Drug Abuse Program, Inc

  dba AADAP Inc.

  • Community/Behavioral Health Agency
  • Gardena, CA
  • NPI 1124272067
  NPD (past)

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

{
    "created_epoch": "1492387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710633600000",
    "number": "1033643093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1707 MARINE AVE",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902473109",
            "telephone_number": "310-279-3242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12110 SLAUSON AVE STE 16",
            "city": "SANTA FE SPRINGS",
            "state": "CA",
            "postal_code": "906708656",
            "telephone_number": "323-524-9347"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1217 W Whittier Blvd",
            "address_purpose": "LOCATION",
            "city": "Montebello",
            "state": "CA",
            "postal_code": "906404642",
            "country_code": "US",
            "telephone_number": "323-728-6070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1039 W Florence Ave",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900442441",
            "country_code": "US",
            "telephone_number": "323-776-1500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2710 W Manchester Blvd",
            "address_purpose": "LOCATION",
            "city": "Inglewood",
            "state": "CA",
            "postal_code": "903052436",
            "country_code": "US",
            "telephone_number": "323-778-4310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "MIRIAM",
        "middle_name": "JEANNETTE",
        "credential": "LCSW, CADC II",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-17",
        "last_updated": "2024-03-17",
        "certification_date": "2024-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "117673",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "A059510321",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrian Rubio
• Michael Allen Rubio
• Sarai Rubio
• David Alejandro Ruiz, LCSW
• Hannah Deann Ruiz
• Yolanda Ruiz
• Chelsea Kristine Russell, ASW
• Jorge Ruvalcaba
• Leslie Paola Saavedra-Ramirez, LCSW75357
• Jose Saavedra

• Clinical Social Worker in Santa Fe Springs, CA
• Providers in Santa Fe Springs, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2024; 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.