Individual provider Active NPI

Ruth Anne Patton, MSW, LCSW

  • Clinical Social Worker
  • Ammon, ID
National Provider Identifier
1306344346
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
37237 Issued in ID
Practice address
3317 E Chasewood Dr
Ammon, ID 83406-4007
Phone
(208) 538-4040
Fax
(208) 538-4140
NPI assigned
Jan 24, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 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 37237 ID Primary

Addresses

Primary practice location

3317 E Chasewood Dr
Ammon, ID 83406-4007

Mailing address

3317 E Chasewood Dr
Ammon, ID 83406-4007
Phone (208) 538-4040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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
I20180410002605 ID Practitioner - Clinical Social Worker 9931462603 Practice locations: Idaho Falls, ID

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

482 Constitution Way
Suite 109
Idaho Falls, ID 83402-3568
Phone (208) 538-4040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37237IDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ruth Patton PLLC CurrentSince Feb 8, 2025 Accepting new patients

Locations

3317 E Chasewood Dr
Ammon, ID 83406
Phone (208) 403-0135

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": "1516752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1306344346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3317 E CHASEWOOD DR",
            "city": "AMMON",
            "state": "ID",
            "postal_code": "834064007",
            "telephone_number": "208-538-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3317 E CHASEWOOD DR",
            "city": "AMMON",
            "state": "ID",
            "postal_code": "834064007",
            "telephone_number": "208-538-4040",
            "fax_number": "208-538-4140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTON",
        "first_name": "RUTH",
        "middle_name": "ANNE",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-24",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "37237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ammon, ID

Sources for this page

Verify at the official NPI Registry.