Individual provider Active NPI

Ruby Mora Lee, LMSW

  • Clinical Social Worker
  • Winnsboro, TX
National Provider Identifier
1437720182
Registry record updated May 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
104947 Issued in TX
Practice address
406 S Main St
Winnsboro, TX 75494-3226
Phone
(903) 342-6790
NPI assigned
Jul 5, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 104947 TX
Clinical Social Worker 1041C0700X 104947 TX Primary

Addresses

Primary practice location

406 S Main St
Winnsboro, TX 75494-3226

Mailing address

1655 Sunspur Rd
New Braunfels, TX 78130-3350
Phone (210) 363-9828

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Bamboo Health Information Exchange (HIE) REHAB SOLUTIONS, LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240401002485 TX Practitioner - Clinical Social Worker 0143668889 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Care Center LLCGroup PAC ID 5991064420, 703 clinicians

Practice addresses (Care Compare)

551 S I-35 Frontage Rd
Suite 200
Round Rock, TX 78664
Phone (888) 374-5066

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
104947TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Psychological Care Sa I, LLC Social Worker CurrentSince Apr 29, 2024 Accepting new patients
Family Care Center, LLC CurrentSince May 1, 2024 Accepting new patients
Family Care Center LLC, CurrentSince May 1, 2024 Accepting new patients

Locations

2860 S Circle Dr
Ste 109
Colorado Springs, CO 80906
Phone 71954021004002

11127 Circle Dr
Austin, TX 78736
Phone (512) 288-8844

3705 Medical Pkwy
Ste 410
Austin, TX 78705
Phone (512) 320-5779

4635 Southwest Fwy
Ste 635
Houston, TX 77027
Phone (214) 923-7777

821 US Highway 81 W
New Braunfels, TX 78130
Phone (830) 606-2244

551 S Interstate 35
Ste 200
Round Rock, TX 78664
Phone (512) 241-7314

5027 Pecan Grove Blvd
San Antonio, TX 78222
Phone (210) 333-6815

Organizations & group practices 3

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": "1625443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716508800000",
    "number": "1437720182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1655 SUNSPUR RD",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781303350",
            "telephone_number": "210-363-9828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 S MAIN ST",
            "city": "WINNSBORO",
            "state": "TX",
            "postal_code": "754943226",
            "telephone_number": "903-342-6790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "RUBY",
        "middle_name": "MORA",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-05",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "104947",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "104947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Bamboo",
            "affiliation": "Y",
            "endpointDescription": "EMR",
            "affiliationName": "REHAB SOLUTIONS, LLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "406 S Main St",
            "city": "Winnsboro",
            "state": "TX",
            "country_code": "US",
            "postal_code": "754943226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Winnsboro, TX

Sources for this page

Verify at the official NPI Registry.