Jacqueline Jeanette Ruffin, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW008627 Issued in GA

Practice address

956 54TH St
Columbus, GA 31904-4968

Phone

(706) 905-8080

NPI assigned

Sep 4, 2023

Last updated

Sep 4, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1693785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693785600000",
    "number": "1477339737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1639 BRADLEY PARK DR STE 500 PMB 117",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319043623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "956 54TH ST",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319044968",
            "telephone_number": "706-905-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUFFIN",
        "first_name": "JACQUELINE",
        "middle_name": "JEANETTE",
        "name_prefix": "Dr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-04",
        "last_updated": "2023-09-04",
        "certification_date": "2023-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "5439C",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW008627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bianca Rubin Smith
• Gregory Michael Rucker, M.D.
• Annmarie Rudolpho-Bernard
• Christine Lee Ruehl, M.D.
• Anthony Jay Ruelos
• Suzanne Molnar Ruffner, OTR
• Brady R Rumph, MD
• Rural Urgent Care LLC (MainStreet Family Care)
• Molly Anne Rush Foy, PT, DPT
• Larry Rush

• Clinical Social Worker in Columbus, GA
• Providers in Columbus, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2023; 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.