Individual provider Active NPI

Ruth M. Kohl, LCSW

  • Clinical Social Worker
  • Northbrook, IL
National Provider Identifier
1205091469
Registry record updated Feb 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C002753 Issued in NC
Practice address
1000 Skokie Blvd Unit 334
Northbrook, IL 60062-4151
Phone
(704) 576-7800
NPI assigned
Jul 26, 2008
Last updated
Feb 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C002753 NC Primary

Addresses

Primary practice location

1000 Skokie Blvd Unit 334
Northbrook, IL 60062-4151

Mailing address

1000 Skokie Blvd Unit 334
Northbrook, IL 60062-4151
Phone (704) 576-7800

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL ruthkohl@ruthkohl.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Previously, effective Aug 16, 2012 through Aug 16, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1217030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613606400000",
    "number": "1205091469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 SKOKIE BLVD UNIT 334",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600624151",
            "telephone_number": "704-576-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 SKOKIE BLVD UNIT 334",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600624151",
            "telephone_number": "704-576-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHL",
        "first_name": "RUTH",
        "middle_name": "M.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-26",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C002753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ruthkohl@ruthkohl.com",
            "affiliation": "N",
            "address_1": "13850 Ballantyne Corporate Pl Ste 500",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282772830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

Verify at the official NPI Registry.