Active NPI
Maria Guadalupe Ruiz, LCSW
- Clinical Social Worker
- Soledad, CA
National Provider Identifier
1104225226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW81189
- Practice address
- 1201 San Juan Bautista
Soledad, CA 93960-3488 - Phone
- (831) 223-1003
- NPI assigned
- Aug 14, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | PPSC | CA | |
| Clinical Social Worker | 1041C0700X | LCSW81189 | CA | Primary |
Addresses
Primary practice location
1201 San Juan Bautista
Soledad, CA 93960-3488
Mailing address
PO Box 1105
Soledad, CA 93960-1105
Phone (831) 223-1003
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW81189 | CA | MD | Clinical Social Worker |
| PPSC | CA | MD | School Social Worker |
| 81189 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690329600000",
"number": "1104225226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1105",
"city": "SOLEDAD",
"state": "CA",
"postal_code": "939601105",
"telephone_number": "831-223-1003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 SAN JUAN BAUTISTA",
"city": "SOLEDAD",
"state": "CA",
"postal_code": "939603488",
"telephone_number": "831-223-1003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUIZ",
"first_name": "MARIA",
"middle_name": "GUADALUPE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-08-14",
"last_updated": "2023-07-26",
"certification_date": "2022-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "CA",
"license": "PPSC",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW81189",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Soledad, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.