Ruth Sandra Theaman, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

018390 Issued in NY

Practice address

75 Holly Hill LN
Greenwich, CT 06830-6098

Phone

(203) 457-3669

NPI assigned

Jun 8, 2022

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 CT

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

Specialty

Clinical Social Worker

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Behavioral Health Center for Counseling and Learning LLCGroup PAC ID 8729313135, 27 clinicians

Practice addresses (Care Compare)

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.

• Behavioral Health Center for Counseling & Learning, LLC

  • Professional Counselor
  • Middlebury, CT
  • NPI 1578788766
  Medicare reassignment Care Compare group NPD
• Liberation Programs Inc

  • Adult Mental Health Clinic/Center
  • Bridgeport, CT
  • NPI 1316067481
  Medicare reassignment NPD
• Compassionate Care Counseling LLC

  • Professional Counselor
  • Middlebury, CT
  • NPI 1932757515
  NPD
• Liberation Programs Inc

  • Adult Mental Health Clinic/Center
  • Stamford, CT
  • NPI 1649390733
  NPD

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

{
    "created_epoch": "1654646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691107200000",
    "number": "1134858806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 HOLLY HILL LN",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068306098",
            "telephone_number": "203-457-3669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 HOLLY HILL LN",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068306098",
            "telephone_number": "203-457-3669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEAMAN",
        "first_name": "RUTH",
        "middle_name": "SANDRA",
        "credential": "LCSW-R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-08",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "018390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Greenwich Medical Group
• The Greenwich Practice
• The Metabolic Dietitian PLLC
• The Plastic and Reconstructive Surgery Group, PC
• The Westchester Medical Group PC
• Stylianos Nicholas Theofanidis, MD
• Sara Thies Feldman, LCSW
• Shailin Andrew Thomas, MD (AS OF MAY 2022)
• Alison Thompson, M.D.
• Mark Thompson

• Clinical Social Worker in Greenwich, CT
• Providers in Greenwich, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.