Individual provider Active NPI

Lauren Johnson Ruthven, LCSW

  • Clinical Social Worker
  • Little Rock, AR
National Provider Identifier
1265684203
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2596-C Issued in AR
Practice address
1 Maywood Dr
Little Rock, AR 72223-9735
Phone
(501) 559-3150
Fax
(501) 307-1081
NPI assigned
Oct 22, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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 2596-C AR Primary

Addresses

Primary practice location

1 Maywood Dr
Little Rock, AR 72223-9735

Mailing address

18521 Cantrell Road
Little Rock, AR 72223
Phone (501) 559-3150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20110524000700 AR Practitioner - Clinical Social Worker 2264618453 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1 Maywood Dr
Little Rock, AR 72223-9735
Phone (501) 559-3150

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Maywood Counseling PLLC Clinical CurrentSince Dec 1, 2024 Accepting new patients

Locations

1 Maywood Dr
Little Rock, AR 72223
Phone (501) 559-3150

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1224633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1265684203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18521 CANTRELL ROAD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "72223",
            "telephone_number": "501-559-3150",
            "fax_number": "501-307-1081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MAYWOOD DR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722239735",
            "telephone_number": "501-559-3150",
            "fax_number": "501-307-1081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTHVEN",
        "first_name": "LAUREN",
        "middle_name": "JOHNSON",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-22",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "2596-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.