Active NPI
Leonard H Ruder, M.S.W.
- Clinical Social Worker
- Westport, CT
National Provider Identifier
1114084993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 000895
- Practice address
- 1 Porters LN
Westport, CT 06880-1330 - Phone
- (203) 226-8229
- Fax
- (203) 221-7988
- NPI assigned
- Jan 2, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 000895 | CT | Primary |
| Clinical Social Worker | 1041C0700X | PR015818-1 | NY |
Addresses
Primary practice location
1 Porters LN
Westport, CT 06880-1330
Mailing address
1 Porters LN
Westport, CT 06880-1330
Phone (203) 226-8229
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 |
|---|---|---|---|
| 000895 | CT | MD | Clinical Social Worker |
| PR015818-1 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1114084993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 PORTERS LN",
"city": "WESTPORT",
"state": "CT",
"postal_code": "068801330",
"telephone_number": "203-226-8229",
"fax_number": "203-221-7988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 PORTERS LN",
"city": "WESTPORT",
"state": "CT",
"postal_code": "068801330",
"telephone_number": "203-226-8229",
"fax_number": "203-221-7988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUDER",
"first_name": "LEONARD",
"middle_name": "H",
"name_prefix": "Mr.",
"credential": "M.S.W.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "000895",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "PR015818-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westport, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.