C. Allen Ruyle, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS26809 Issued in CA

Legal business name

C. ALLEN RUYLE, LCSW

Practice address

1090 University Ave
Loft 202B
San Diego, CA 92103-7307

Phone

(619) 822-1660

Fax

(866) 302-7589

NPI assigned

Nov 5, 2011

Organization subpart

No

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

Authorized official

Name

C. Allen Ruyle, LCSW, CGP

Title

Sole Practitioner

Phone

(619) 213-3000

Specialties & licenses 1

Addresses

Practitioners 1

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

• Clifford Allen Ruyle Jr., LCSW, CGP

  • Clinical Social Worker
  • San Diego, CA
  • NPI 1912294547
  NPD (past)

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

{
    "created_epoch": "1320451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367366400000",
    "number": "1083991996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1090 UNIVERSITY AVE",
            "address_2": "LOFT 202B",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921037307",
            "telephone_number": "619-822-1660",
            "fax_number": "866-302-7589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 UNIVERSITY AVE",
            "address_2": "LOFT 202B",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921037307",
            "telephone_number": "619-822-1660",
            "fax_number": "866-302-7589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C. ALLEN RUYLE, LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-05",
        "last_updated": "2013-05-01",
        "status": "A",
        "authorized_official_last_name": "RUYLE",
        "authorized_official_first_name": "C. ALLEN",
        "authorized_official_title_or_position": "SOLE PRACTITIONER",
        "authorized_official_telephone_number": "619-213-3000",
        "authorized_official_credential": "LCSW, CGP"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS26809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in San Diego, CA
• Providers in San Diego, 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 May 1, 2013; 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.