Osvaldo Gotay Ruiz, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

22248 Issued in AZ

Practice address

10041 E Mary Dr
Tucson, AZ 85730-3191

Phone

(787) 923-3035

NPI assigned

Jun 25, 2015

Sex

Male

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1435190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1063894186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10041 E MARY DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857303191",
            "telephone_number": "787-923-3035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10041 E MARY DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857303191",
            "telephone_number": "787-923-3035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTAY RUIZ",
        "first_name": "OSVALDO",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-25",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "19379",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "22248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Goss
• Kenneth Martin Gosses, O.D.
• Mireya Yvette Gossett
• Isabel Maria Gossler, MD
• Kenneth B Gossler, M.D.
• Jamie Gothup
• Gary P Gottlieb, M.D.
• Jacob Kulp Gotwals, MA
• Jordan Gotwalt-Bish, MD
• Judy London Gould, SLP

• Clinical Social Worker in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Clinical Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.