Individual provider Active NPI

Ruby Dike

  • Clinical Social Worker
  • Laurel, MD
National Provider Identifier
1457918922
Registry record updated May 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
16477 Issued in MD
Practice address
14440 Cherry Lane CT Ste 208
Laurel, MD 20707-4946
Phone
(301) 604-1458
Fax
(301) 604-1459
NPI assigned
May 21, 2019
Last updated
May 21, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 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 16477 MD Primary

Addresses

Primary practice location

14440 Cherry Lane CT Ste 208
Laurel, MD 20707-4946

Mailing address

14440 Cherry Lane CT Ste 208
Laurel, MD 20707-4946
Phone (301) 604-1458

Other identifiers 1

IdentifierTypeStateIssuer
16477OtherMDLICENSE NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lthai@innovativetherapy.org

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
16477MDMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1558396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558396800000",
    "number": "1457918922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14440 CHERRY LANE CT STE 208",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207074946",
            "telephone_number": "301-604-1458",
            "fax_number": "301-604-1459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14440 CHERRY LANE CT STE 208",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207074946",
            "telephone_number": "301-604-1458",
            "fax_number": "301-604-1459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIKE",
        "first_name": "RUBY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-21",
        "last_updated": "2019-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "16477",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "16477",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lthai@innovativetherapy.org",
            "affiliation": "N",
            "endpointDescription": "Secure Practice Email",
            "address_1": "14440 Cherry Lane Ct Ste 208",
            "city": "Laurel",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207074946",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2019; 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.