Tara S Rullo, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

074999 Issued in NY

Practice address

936 Saint Marks Ave Apt 1E
Brooklyn, NY 11213-2017

Phone

(347) 661-9645

NPI assigned

May 22, 2017

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Middle Way Psychotherapy, LCSW P.C.

  • Clinical Social Worker
  • Brooklyn, NY
  • NPI 1982187977
  NPD Authorized official

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

{
    "created_epoch": "1495411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495411200000",
    "number": "1215464201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "936 SAINT MARKS AVE APT 1E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112132017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "936 SAINT MARKS AVE APT 1E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112132017",
            "telephone_number": "347-661-9645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RULLO",
        "first_name": "TARA",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-22",
        "last_updated": "2017-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "074999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sam Ruiz
• Vivian Ruiz
• Natia Rukhadze
• Ilya Rukhman, DPT
• Rulet Medical Supplies Inc
• Roxanne Rullow
• Reem Rum
• Barbara Toby Rumain, PH.D.
• Lawrence Seymour Rumble, RN
• Iuliia Rumiantseva

• Clinical Social Worker in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2017; 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.