Active NPI
Kathylin Ruano, LCSW-C
- Clinical Social Worker
- Rockville, MD
National Provider Identifier
1134578818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 21788
- Practice address
- 1000 Twinbrook Pkwy
Rockville, MD 20851-1201 - Phone
- (301) 424-0656
- NPI assigned
- Jun 3, 2016
- Sex
- Female
- Sole proprietor
- No
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 | |||
| Clinical Social Worker | 1041C0700X | 21788 | MD | Primary |
Addresses
Primary practice location
1000 Twinbrook Pkwy
Rockville, MD 20851-1201
Mailing address
13105 Briarcliff Ter Apt 1113
Germantown, MD 20874-2682
Phone (301) 922-8435
Other practice location 1
7412 Georgia Ave NW
Washington, DC 20012-1754
Phone (202) 285-1690
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 340671700 | Medicaid | MD |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kruano@every-mind.org | Health Information Exchange (HIE) |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21788 | MD | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582761600000",
"number": "1134578818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13105 BRIARCLIFF TER APT 1113",
"city": "GERMANTOWN",
"state": "MD",
"postal_code": "208742682",
"telephone_number": "301-922-8435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 TWINBROOK PKWY",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208511201",
"telephone_number": "301-424-0656"
}
],
"practiceLocations": [
{
"address_1": "7412 Georgia Ave NW",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200121754",
"country_code": "US",
"telephone_number": "202-285-1690",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUANO",
"first_name": "KATHYLIN",
"credential": "LCSW-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-03",
"last_updated": "2020-02-27",
"certification_date": "2020-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "21788",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "340671700",
"state": "MD"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kruano@every-mind.org",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "1000 Twinbrook Pkwy",
"city": "Rockville",
"state": "MD",
"country_code": "US",
"postal_code": "208511201",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.