Individual provider Active NPI

Tania Rodrigues-Ruiz, MSW, LCSW

  • Clinical Social Worker
  • Lehigh Acres, FL
National Provider Identifier
1235582073
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW16158 Issued in FL
Practice address
5902 Ida Ave N
Lehigh Acres, FL 33971-1411
Phone
(239) 240-1808
NPI assigned
Jul 17, 2016
Last updated
Feb 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X SW16158 FL
Clinical Social Worker 1041C0700X SW16158 FL Primary
Behavior Analyst 103K00000X NU

Addresses

Primary practice location

5902 Ida Ave N
Lehigh Acres, FL 33971-1411

Mailing address

5902 Ida Ave N
Lehigh Acres, FL 33971-1411
Phone (239) 240-1808

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20211029000443 FL Practitioner - Clinical Social Worker 9638567316 Reassigns benefits to 4 organizations
Practice locations: Lehigh Acres, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brightside Health IncGroup PAC ID 9234525098, 213 clinicians
Grow Healthcare Group PAGroup PAC ID 3476961368, 1,045 clinicians

Practice addresses (Care Compare)

Jacksonville, FL 32211
Phone (415) 360-3348

66 E Flagler St
Miami, FL 33130-1807
Phone (786) 244-7711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW16158FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Brightside Health, Inc. CurrentSince Jul 1, 2023 Accepting new patients
Tanya Ruiz, LLC Mental Health CurrentSince Mar 12, 2024 Accepting new patients
Grow Healthcare Group PA Mental Health CurrentSince Jan 6, 2026 Accepting new patients
Tanya Ruiz, LLC CurrentSince Sep 28, 2021 Accepting new patients
Personal Recovery Network LLC CurrentSince Apr 22, 2024 Accepting new patients

Locations

2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615

6501 Arlington Expy
Ste B105
Jacksonville, FL 32211
Phone (904) 302-9355

260 Lookout Pl
Ste 202
Maitland, FL 32751
Phone (407) 537-9450

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

4776 New Broad St
Ste 201
Orlando, FL 32814
Phone (407) 871-9490

Organizations & group practices 6

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": "1468713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708560000000",
    "number": "1235582073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5902 IDA AVE N",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339711411",
            "telephone_number": "239-240-1808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5902 IDA AVE N",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339711411",
            "telephone_number": "239-240-1808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUES-RUIZ",
        "first_name": "TANIA",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-17",
        "last_updated": "2024-02-22",
        "certification_date": "2022-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "SW16158",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW16158",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehigh Acres, FL

Sources for this page

Verify at the official NPI Registry.