Individual provider Active NPI

Cynthia Lucille Ruby, LCSW-C

  • Clinical Social Worker
  • Glen Burnie, MD
National Provider Identifier
1104339647
Registry record updated Nov 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
05286 Issued in MD
Practice address
7477 Baltimore Annapolis Blvd Ste 201
Glen Burnie, MD 21061-3567
Phone
(410) 766-9452
Fax
(410) 766-9725
NPI assigned
Nov 7, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2017

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 05286 MD Primary

Addresses

Primary practice location

7477 Baltimore Annapolis Blvd Ste 201
Glen Burnie, MD 21061-3567

Mailing address

211 Mallard Dr
Stevensville, MD 21666-3235
Phone (410) 766-9452

Other names 1

  • Miss Cynthia Lucille Boyd Former name

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1510012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510012800000",
    "number": "1104339647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 MALLARD DR",
            "city": "STEVENSVILLE",
            "state": "MD",
            "postal_code": "216663235",
            "telephone_number": "410-766-9452",
            "fax_number": "410-766-9725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7477 BALTIMORE ANNAPOLIS BLVD STE 201",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210613567",
            "telephone_number": "410-766-9452",
            "fax_number": "410-766-9725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBY",
        "first_name": "CYNTHIA",
        "middle_name": "LUCILLE",
        "name_prefix": "Mrs.",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-07",
        "last_updated": "2017-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "05286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CYNTHIA",
            "last_name": "BOYD",
            "middle_name": "LUCILLE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Glen Burnie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2017; 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.