Starlette Heart Mahusay Ruedas, LSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.027254 Issued in IL

Practice address

7350 Lake St
Morton Grove, IL 60053-1713

Phone

(312) 330-7721

NPI assigned

Mar 14, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Starlette Heart Ruedas Other name

Medicare fee-for-service enrollment

Enrolled in IL

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Vitae Health Medical Illinois, PLLC

  • Internal Medicine Physician
  • Skokie, IL
  • NPI 1174013452

  Clinical

  Medicare reassignment NPD

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

{
    "created_epoch": "1678752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1235830472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7350 LAKE ST",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600531713",
            "telephone_number": "312-330-7721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7350 LAKE ST",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600531713",
            "telephone_number": "312-330-7721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUEDAS",
        "first_name": "STARLETTE HEART",
        "middle_name": "MAHUSAY",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-14",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150.110282",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.027254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STARLETTE HEART",
            "last_name": "RUEDAS",
            "credential": "MSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Chelsea Roggeveen
• Susanne Rokita
• Rosner Home Health Care, Inc.
• Alexuscia Ross, RBT
• William Rowland
• Megan Ruffalo, CNA
• Blerim Rukaj
• Nicole Rupert, PHARMD
• Rxperts Pharmacy - Chicago, LLC
• Jacqueline Marie Heffernan Ryaboy, M.D.

• Clinical Social Worker in Morton Grove, IL
• Providers in Morton Grove, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.