Individual provider Active NPI

Ruth Karnes, LCSW

  • Clinical Social Worker
  • Murphysboro, IL
National Provider Identifier
1083387450
Registry record updated Jul 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.018360 Issued in IL
Practice address
7 S Hospital Dr
Murphysboro, IL 62966-3333
Phone
(618) 519-9200
Fax
(618) 684-2478
NPI assigned
Jul 30, 2021
Last updated
Jul 30, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149.018360 IL Primary

Addresses

Primary practice location

7 S Hospital Dr
Murphysboro, IL 62966-3333

Mailing address

109 California St, PO Box 577
Carterville, IL 62918-0577
Phone (618) 519-9200

Other names 1

  • Ruth Moreland Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210819001658 IL Practitioner - Clinical Social Worker 5991100570 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Southern Illinois University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2 S Hospital Dr
Murphysboro, IL 62966-3333
Phone (618) 942-2171

7 S Hospital Dr
Murphysboro, IL 62966-3333
Phone (618) 687-3418

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.018360ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Shawnee Health Service and Development Corp Clinical CurrentSince Aug 16, 2021 Accepting new patients
Shawnee Health Service and Development Corp Clinical Current Accepting new patients
Shawnee Health Service and Development Corp CurrentSince Aug 16, 2021 Accepting new patients
Shawnee Health Service and Development Corp Clinical Past Accepting new patients

Locations

1006 S Division St
Carterville, IL 62918
Phone (618) 985-4841

7 S Hospital Dr
Murphysboro, IL 62966
Phone (618) 687-3418

Interoperability endpoints

  • Direct secure messaging: ruth.karnes.1@14668.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1627603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627603200000",
    "number": "1083387450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 CALIFORNIA ST, PO BOX 577",
            "city": "CARTERVILLE",
            "state": "IL",
            "postal_code": "629180577",
            "telephone_number": "618-519-9200",
            "fax_number": "618-985-4635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 S HOSPITAL DR",
            "city": "MURPHYSBORO",
            "state": "IL",
            "postal_code": "629663333",
            "telephone_number": "618-519-9200",
            "fax_number": "618-684-2478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARNES",
        "first_name": "RUTH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-30",
        "last_updated": "2021-07-30",
        "certification_date": "2021-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.018360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RUTH",
            "last_name": "MORELAND",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Murphysboro, IL

Sources for this page

Verify at the official NPI Registry.