Individual provider Active NPI

Cindy Marie Ruiz, LCSW

  • Clinical Social Worker
  • Truth Or Consequences, NM
National Provider Identifier
1275800161
Registry record updated Mar 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C-08754 Issued in NM
Practice address
1960 N Date St
Truth Or Consequences, NM 87901-3701
Phone
(575) 894-7662
Fax
(575) 894-7930
NPI assigned
Nov 21, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X M-06907 NM
Clinical Social Worker 1041C0700X M-06907 NM
Clinical Social Worker 1041C0700X I-08754 NM
Clinical Social Worker 1041C0700X C-08754 NM Primary

Addresses

Primary practice location

1960 N Date St
Truth Or Consequences, NM 87901-3701

Mailing address

PO Box 370
Hatch, NM 87937-0370
Phone (575) 267-3280

Other practice location 1

125 Chaparrel Blvd NW
Deming, NM 88030-8629
Phone (575) 546-4800

Other identifiers 1

IdentifierTypeStateIssuer
1275800161MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20150313001865 NM Practitioner - Clinical Social Worker 1355667122 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C-08754NMMDClinical Social Worker
M-06907NMMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ben Archer Health Center Current Accepting new patients
Ben Archer Health Center CurrentSince Jan 20, 2015 Accepting new patients
Ben Archer Health Center CurrentSince Jan 20, 2015 Accepting new patients
Ben Archer Health Center PastSince Jan 20, 2015 Accepting new patients

Locations

1960 N Date St
Truth Or Consequences, NM 87901
Phone (575) 894-7662

Organizations & group practices 4

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": "1321833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1275800161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 370",
            "city": "HATCH",
            "state": "NM",
            "postal_code": "879370370",
            "telephone_number": "575-267-3280",
            "fax_number": "575-267-1747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1960 N DATE ST",
            "city": "TRUTH OR CONSEQUENCES",
            "state": "NM",
            "postal_code": "879013701",
            "telephone_number": "575-894-7662",
            "fax_number": "575-894-7930"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 Chaparrel Blvd NW",
            "address_purpose": "LOCATION",
            "city": "Deming",
            "state": "NM",
            "postal_code": "880308629",
            "country_code": "US",
            "telephone_number": "575-546-4800",
            "fax_number": "575-546-0685",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "CINDY",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-21",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NM",
            "license": "M-06907",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "M-06907",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "I-08754",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "C-08754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1275800161",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Truth Or Consequences, NM

Sources for this page

Verify at the official NPI Registry.