Sydney Rae Rucker, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

113713 Issued in CA

Practice address

200 24TH St
Richmond, CA 94804-1804

Phone

(510) 412-9206

NPI assigned

Jul 31, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Theratree Community: Child & Family Counseling Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Walnut Creek, CA
  • NPI 1376240648
  NPD (past)

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

{
    "created_epoch": "1564531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681862400000",
    "number": "1346894953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 24TH ST",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948041804",
            "telephone_number": "510-412-9206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 24TH ST",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948041804",
            "telephone_number": "510-412-9206"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 24th St",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "CA",
            "postal_code": "948041804",
            "country_code": "US",
            "telephone_number": "510-412-9206",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1415 Oakland Blvd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Walnut Creek",
            "state": "CA",
            "postal_code": "945964395",
            "country_code": "US",
            "telephone_number": "925-378-9456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUCKER",
        "first_name": "SYDNEY",
        "middle_name": "RAE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-31",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "90625",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "113713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rubicon Programs
• Rubicon Programs Inc.
• Edgardo C. Rubio, DENTIST
• Edgardo Sanchez Rubio Jr., D.M.D
• Ricardo Rubio Jr.
• Erika Susana Ruiz Rodriguez
• Kimberly Ruiz
• Andrea L. Ruizquez, CPM, LDM
• Anamaria Rullier
• Michele Scantlebury Rumsey, RN, CNS

• Clinical Social Worker in Richmond, CA
• Providers in Richmond, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.