Active NPI
Ruthanne K Weinheimer, LCSW
- Clinical Social Worker
- Camillus, NY
National Provider Identifier
1356430318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R0420221
- Practice address
- 5700 W Genesee St
Suite 118
Camillus, NY 13031-3200 - Phone
- (315) 488-1641
- Fax
- (315) 488-1655
- NPI assigned
- Oct 11, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | R0420221 | NY | Primary |
Addresses
Primary practice location
5700 W Genesee St
Suite 118
Camillus, NY 13031-3200
Mailing address
5700 W Genesee St
Suite 118
Camillus, NY 13031-3200
Phone (315) 488-1641
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4603295 | Other | NY | AETNA |
| 376633 | Other | NY | MVP |
| 0002821 | Other | NY | GHI |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R0420221 | NY | MD | Clinical Social Worker |
| 042022 | NY | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1356430318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5700 W GENESEE ST",
"address_2": "SUITE 118",
"city": "CAMILLUS",
"state": "NY",
"postal_code": "130313200",
"telephone_number": "315-488-1641",
"fax_number": "315-488-1655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5700 W GENESEE ST",
"address_2": "SUITE 118",
"city": "CAMILLUS",
"state": "NY",
"postal_code": "130313200",
"telephone_number": "315-488-1641",
"fax_number": "315-488-1655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEINHEIMER",
"first_name": "RUTHANNE",
"middle_name": "K",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R0420221",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4603295",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "376633",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "0002821",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Camillus, NY
- Maureen Kimora Wallen, OD
- Rebecca Wassel, PTA
- Tekhara Watson, LMFT
- Coreena L Weaver, MD
- Donna Mary Weckerle, AU.D.
- West ASC, LLC (Camillus Surgery Center)
- West Genesee Central School District
- Western Area Volunteer Emergency Service, Inc.
- Robert Elmer Westlake Jr., MD
- Westside Audiology Services,LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.