Individual provider Active NPI

Tony Lazaro Ruiz, LMSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1316723893
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
125142-01 Issued in NY
Practice address
225 Broadway Ste 1570
New York, NY 10007-3088
Phone
(917) 628-7710
NPI assigned
Aug 31, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 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 125142-01 NY Primary

Addresses

Primary practice location

225 Broadway Ste 1570
New York, NY 10007-3088

Mailing address

225 Broadway Ste 1570
New York, NY 10007-3088

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
125142-01NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
A Klein LCSW Psychotherapy, P.C. Clinical CurrentSince Aug 10, 2025 Accepting new patients
The Fifth Avenue Counseling Center, Inc. PastSince Sep 1, 2023 Accepting new patients

Locations

225 Broadway
Ste 1570
New York, NY 10007
Phone (917) 628-7710

Organizations & group practices 2

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": "1693440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1316723893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 BROADWAY STE 1570",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100073088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 BROADWAY STE 1570",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100073088",
            "telephone_number": "917-628-7710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "TONY",
        "middle_name": "LAZARO",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-31",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "125142-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2025; 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.