Individual provider Active NPI

Debbie Ramos-Rudiger, LMSW

  • School Social Worker
  • Holbrook, NY
National Provider Identifier
1316080294
Registry record updated Sep 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
License
667082961 Issued in NY
Practice address
24 Flintridge Dr
Holbrook, NY 11741-2806
Phone
(631) 472-3877
NPI assigned
Feb 14, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0335521 NY
School Social Worker 1041S0200X 667082961 NY Primary
Clinical Social Worker 1041C0700X 0834961 NY

Addresses

Primary practice location

24 Flintridge Dr
Holbrook, NY 11741-2806

Mailing address

24 Flintridge Dr
Holbrook, NY 11741-2806
Phone (631) 472-3877

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0335521NYMDClinical Social Worker
0834961NYMDClinical Social Worker
667082961NYMDSchool Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441238400000",
    "number": "1316080294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 FLINTRIDGE DR",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117412806",
            "telephone_number": "631-472-3877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 FLINTRIDGE DR",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117412806",
            "telephone_number": "631-472-3877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMOS-RUDIGER",
        "first_name": "DEBBIE",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-14",
        "last_updated": "2015-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "0335521",
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NY",
            "license": "667082961",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "0834961",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holbrook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.