Individual provider Active NPI

Kathylin Ruano, LCSW-C

  • Clinical Social Worker
  • Rockville, MD
National Provider Identifier
1134578818
Registry record updated Feb 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
21788 Issued in MD
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

Updated by the provider on Feb 27, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
340671700MedicaidMD

Electronic endpoints 1

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
21788MDMDPhysical 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.

Verify at the official NPI Registry.