Individual provider Active NPI

Crystal Lorraine Miles-Ruffin

  • Clinical Social Worker
  • Columbia, MD
National Provider Identifier
1427514967
Registry record updated Feb 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10730 Issued in MD
Practice address
9515 Gerwig LN
Columbia, MD 21046-1576
Phone
(410) 312-5700
NPI assigned
Feb 20, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2019

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 10730 MD Primary

Addresses

Primary practice location

9515 Gerwig LN
Columbia, MD 21046-1576

Mailing address

9515 Gerwig LN Ste 112
Columbia, MD 21046-2915
Phone (410) 312-5700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, FL, DC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20200824002903 MD Practitioner - Clinical Social Worker 3375960214 Practice locations: Jessup, MD
I20250325002691 FL Practitioner - Clinical Social Worker 3375960214 Reassigns benefits to 1 organization
I20250421001895 DC Practitioner - Clinical Social Worker 3375960214 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Clinical CurrentSince Feb 21, 2025 Accepting new patients
Blue Rose Counseling Center PastSince Jul 12, 2020 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

6701 Democracy Blvd
Ste 300
Bethesda, MD 20817
Phone (443) 351-4650

8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598

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": "1550620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550793600000",
    "number": "1427514967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9515 GERWIG LN STE 112",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210462915",
            "telephone_number": "410-312-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9515 GERWIG LN",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210461576",
            "telephone_number": "410-312-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILES-RUFFIN",
        "first_name": "CRYSTAL",
        "middle_name": "LORRAINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-20",
        "last_updated": "2019-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "10730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.