Ruby Burnetta Gudger, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

12600 Issued in MD

Practice address

2300 N Charles St
4TH Floor
Baltimore, MD 21218-5137

Phone

(410) 396-6147

Fax

(410) 235-1827

NPI assigned

Oct 31, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1225411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225411200000",
    "number": "1174776397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4603 HAWKSBURY RD",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212082127",
            "telephone_number": "410-655-2338",
            "fax_number": "410-655-2476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 N CHARLES ST",
            "address_2": "4TH FLOOR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212185137",
            "telephone_number": "410-396-6147",
            "fax_number": "410-235-1827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUDGER",
        "first_name": "RUBY",
        "middle_name": "BURNETTA",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-31",
        "last_updated": "2008-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "12600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "406820300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Katherine Guay, PA-C
• Alexander M. Guba, MD
• Ira Gubernick, MD
• Kelly Gucwa, LMSW
• Julie Christine Gudenkauf, MD
• Alshaday A Gudina, MD
• Meghana Chandra Gudla, DO
• Kimberly Anne Gudzune, MD
• Lee Anthony Guerrera, CRNP
• Anthony L. Guerrerio Jr., M.D., PH.D.

• Clinical Social Worker in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2008; 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.