Individual provider Active NPI

Jordan Ruger, LICSW

  • Social Worker
  • Spokane, WA
National Provider Identifier
1205333762
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LW61009161 Issued in WA
Practice address
5901 N Lidgerwood St Ste 223
Spokane, WA 99208-1122
Phone
(509) 444-8200
NPI assigned
Apr 11, 2018
Last updated
May 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LW61009161 WA Primary
Clinical Social Worker 1041C0700X LW61009161 WA

Addresses

Primary practice location

5901 N Lidgerwood St Ste 223
Spokane, WA 99208-1122

Mailing address

611 N Iron Bridge Way
Spokane, WA 99202-4932
Phone (509) 444-8888

Other identifiers 1

IdentifierTypeStateIssuer
2012415MedicaidWA

Other names 1

  • Jordan Ruger Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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

Enrollment IDStateProvider typePAC IDDetails
I20220816003359 WA Practitioner - Clinical Social Worker 4284017799 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LW61009161WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Association of Spokane CurrentSince May 14, 2024 Accepting new patients
Community Health Association of Spokane Current Accepting new patients
Community Health Association of Spokane Social Worker CurrentSince May 14, 2024 Accepting new patients
Passages Family Support a Nonprofit Corporation CurrentSince May 4, 2022 Accepting new patients
Passages Family Support a Nonprofit Corporation PastSince Jan 12, 2020 Accepting new patients

Locations

1720 2nd St
Cheney, WA 99004
Phone (207) 865-8002

1001 W 2nd Ave
Spokane, WA 99201
Phone (509) 835-1205

1002 N Superior St
Spokane, WA 99202
Phone (509) 892-9241

1700 S Assembly Rd
Ste 300
Spokane, WA 99224
Phone (509) 892-9241

3919 N Maple St
Spokane, WA 99205
Phone (509) 326-6900

5620 S Regal St
Ste 11
Spokane, WA 99223
Phone (509) 340-1590

5901 N Lidgerwood St
Ste 126
Spokane, WA 99208
Phone (509) 434-1990

5901 N Lidgerwood St
Ste 223
Spokane, WA 99208
Phone (509) 489-4763

5921 N Market St
Spokane, WA 99208
Phone (509) 487-1604

611 N Iron Bridge Way
Spokane, WA 99202

817 S Perry St
Unit B
Spokane, WA 99202
Phone (509) 434-0390

914 W Carlisle Ave
Spokane, WA 99205
Phone (509) 325-0393

1502 N Vercler Rd
Spokane Valley, WA 99216
Phone (509) 444-8204

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1523404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1205333762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 N IRON BRIDGE WAY",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992024932",
            "telephone_number": "509-444-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 N LIDGERWOOD ST STE 223",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992081122",
            "telephone_number": "509-444-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUGER",
        "first_name": "JORDAN",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-11",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WA",
            "license": "LW61009161",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW61009161",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2012415",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JORDAN",
            "last_name": "RUGER",
            "credential": "LICSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.