Individual provider Active NPI

Ruma Marshall, MSW

  • Social Worker
  • Scranton, PA
National Provider Identifier
1376054577
Registry record updated Oct 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW125867 Issued in PA
Practice address
301 Mulberry St
Scranton, PA 18503-1230
Phone
(570) 507-9272
NPI assigned
Oct 16, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW125867 PA Primary

Addresses

Primary practice location

301 Mulberry St
Scranton, PA 18503-1230

Mailing address

16 Hulse St
Throop, PA 18512-1318
Phone (570) 604-0949

Other names 1

  • Ruma Ranjit Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240118002392 OR Practitioner - Clinical Social Worker 8224480959 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tiffany Kettermann LLCGroup PAC ID 0941685184, 5 clinicians

Practice addresses (Care Compare)

2950 SE Stark St
Suite 130
Portland, OR 97214-3082
Phone (971) 270-0167

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW125867PAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Tiffany Kettermann, LLC CurrentSince Dec 28, 2023 Accepting new patients

Locations

2950 SE Stark St
Ste 130
Portland, OR 97214
Phone (971) 270-0167

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1508112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508112000000",
    "number": "1376054577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 HULSE ST",
            "city": "THROOP",
            "state": "PA",
            "postal_code": "185121318",
            "telephone_number": "570-604-0949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 MULBERRY ST",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185031230",
            "telephone_number": "570-507-9272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "RUMA",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-16",
        "last_updated": "2017-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW125867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RUMA",
            "last_name": "RANJIT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Scranton, PA

Sources for this page

Verify at the official NPI Registry.