Individual provider Active NPI

Catherine Marie Ruiz, LCSW

  • Clinical Social Worker
  • Dallas, TX
National Provider Identifier
1326555830
Registry record updated Jul 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
104876 Issued in TX
Practice address
5220 Spring Valley Rd Ste 610
Dallas, TX 75254-3059
Phone
(972) 953-9895
NPI assigned
Jan 5, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2023

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 104876 TX Primary

Addresses

Primary practice location

5220 Spring Valley Rd Ste 610
Dallas, TX 75254-3059

Mailing address

1300 Eldorado Pkwy Apt 1413
McKinney, TX 75069-8003
Phone (305) 790-2546

Other names 1

  • Ms. Catherine Wahl Former name

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
104876TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cor Sacrum Counseling and Consulting, PLLC Clinical CurrentSince Jul 16, 2023 Accepting new patients

Locations

5220 Spring Valley Rd
Ste 610
Dallas, TX 75254
Phone (972) 901-2104

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1515110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1326555830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 ELDORADO PKWY APT 1413",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750698003",
            "telephone_number": "305-790-2546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5220 SPRING VALLEY RD STE 610",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752543059",
            "telephone_number": "972-953-9895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "CATHERINE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-05",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "104876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CATHERINE",
            "last_name": "WAHL",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; 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.