Cynthia Denise Ruguleiski, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW-31142 Issued in ID

Practice address

1315 Highway 2 Ste 4
Sandpoint, ID 83864-2724

Phone

(208) 261-2740

NPI assigned

Dec 19, 2006

Last updated

Jan 9, 2024By the provider in NPPES

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Spectrum Connection Behavioral Health LLC

  • Clinical Social Worker
  • Sandpoint, ID
  • NPI 1558076513
  NPD Authorized official

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1144383902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 HIGHWAY 2 STE 4",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838642724",
            "telephone_number": "406-546-9818",
            "fax_number": "208-625-2062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 HIGHWAY 2 STE 4",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838642724",
            "telephone_number": "208-261-2740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUGULEISKI",
        "first_name": "CYNTHIA",
        "middle_name": "DENISE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW-31142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806064200",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806106400",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rooted Wellness Therapy, PLLC
• Michael P Rosenkranz, MD
• Janice Carol Rothmeyer, LCPC
• Katty Matilde Rozok, LCSW
• Deborah D Ruehle, M.P.T.
• Dante Sandro Rumore, LICSW
• Paul Gerald Rumore, M.D.
• Rurban PLLC (Rurban Health)
• Rhonda Russ, LMT
• Amanda Louise Russell, LCSW

• Clinical Social Worker in Sandpoint, ID
• Providers in Sandpoint, ID by specialty
• Clinical Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; 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.