Individual provider Active NPI

Ruthann Kitt, LCSW

  • Clinical Social Worker
  • Columbia, MD
National Provider Identifier
1467905588
Registry record updated Jul 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
21970 Issued in MD
Practice address
6950 Columbia Gateway Dr
Columbia, MD 21046-2706
Phone
(410) 953-1891
NPI assigned
Jul 25, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 21970 MD Primary
Clinical Social Worker 1041C0700X CSW002592 GA

Addresses

Primary practice location

6950 Columbia Gateway Dr
Columbia, MD 21046-2706

Mailing address

9065 Blue Willow CT
Gainesville, GA 30506-4864

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20240626003578 FL Practitioner - Clinical Social Worker 3173067592 Reassigns benefits to 1 organization
I20240820001111 GA Practitioner - Clinical Social Worker 3173067592 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW002592GAMDClinical Social Worker
21970MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Thriving Lane CurrentSince May 1, 2024 Accepting new patients

Locations

4933 Tamiami Trl N
Ste 200
Naples, FL 34103
Phone (239) 272-9157

200 2nd Ave S
St Petersburg, FL 33701
Phone (727) 465-8515

2801 Buford Hwy NE
Ste T10
Brookhaven, GA 30329
Phone (404) 397-8302

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": "1469404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469404800000",
    "number": "1467905588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9065 BLUE WILLOW CT",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305064864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6950 COLUMBIA GATEWAY DR",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210462706",
            "telephone_number": "410-953-1891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITT",
        "first_name": "RUTHANN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-25",
        "last_updated": "2016-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "21970",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW002592",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.