Charissa A Ruud, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

27459 Issued in CA

Practice address

2535 Camino del Rio S Ste 220
San Diego, CA 92108-3756

Phone

(619) 881-0377

Fax

(858) 777-9676

NPI assigned

Mar 2, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ebb and Flow Marriage and Family Therapist, Inc.

  • Mental Health Counselor
  • San Diego, CA
  • NPI 1114699006
  NPD
• Psycare Inc

  • Mental Health Counselor
  • San Diego, CA
  • NPI 1811927106
  NPD
• Shepherds Staff Christian Counseling Center Inc

  • Clinical Psychologist
  • Midvale, UT
  • NPI 1558395525
  NPD (past)

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

{
    "created_epoch": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1114994753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2535 CAMINO DEL RIO S STE 220",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083756",
            "telephone_number": "619-881-0377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2535 CAMINO DEL RIO S STE 220",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083756",
            "telephone_number": "619-881-0377",
            "fax_number": "858-777-9676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUUD",
        "first_name": "CHARISSA",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-02",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "27459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isis Burakom Rutledge, LMT
• Kari Lynn Rutledge, SLPA
• Josephine Ann Rutschman
• Walter Levy Rutschow
• Candice April Ruttner - Duryea, MFT
• Irma Lisette Ruvalcaba
• Kenia Ruvalcaba
• Kimberly Ruvalcaba
• Sharline Nicol Ruvalcaba, RADT-1
• Clifford Allen Ruyle Jr., LCSW, CGP

• 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 Oct 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.