Individual provider Active NPI

April Bergquist Ruckman, PSY.M, MSW, LCSW

  • Clinical Social Worker
  • Concord, NC
National Provider Identifier
1487111001
Registry record updated Dec 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C015052 Issued in NC
Practice address
845 Church St N Ste 203
Concord, NC 28025-4374
Phone
(704) 316-5027
Fax
(704) 316-5028
NPI assigned
Mar 1, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2022

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 P013240 NC
Clinical Social Worker 1041C0700X C015052 NC Primary

Addresses

Primary practice location

845 Church St N Ste 203
Concord, NC 28025-4374

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice location 1

2109 Badin Rd
Albemarle, NC 28001-8193
Phone (910) 581-4190

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20220902001375 NC Practitioner - Clinical Social Worker 5193109577 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Novant Health Medical Group, LLCGroup PAC ID 1153234893, 2,413 clinicians

Practice addresses (Care Compare)

845 Church St N
Suite 203
Concord, NC 28025-4374
Phone (704) 316-5027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C015052NCMDClinical Social Worker
P013240NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Monarch Current Accepting new patients
Monarch CurrentSince Jun 15, 2022 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Nov 26, 2022 Accepting new patients
Monarch CurrentSince Jun 15, 2022 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince Nov 26, 2022 Accepting new patients

Locations

350 Pee Dee Ave
Ste 101
Albemarle, NC 28001
Phone (704) 986-1522

1900 Randolph Rd
Ste 800
Charlotte, NC 28207
Phone (704) 941-4171

845 Church St N
Ste 203
Concord, NC 28025
Phone (704) 316-5027

13815 Professional Center Dr
Ste 100
Huntersville, NC 28078
Phone (704) 316-2050

820 Grimes Blvd
Lexington, NC 27292
Phone (336) 224-6071

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

Organizations & group practices 6

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": "1551398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672099200000",
    "number": "1487111001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 CHURCH ST N STE 203",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280254374",
            "telephone_number": "704-316-5027",
            "fax_number": "704-316-5028"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2109 Badin Rd",
            "address_purpose": "LOCATION",
            "city": "Albemarle",
            "state": "NC",
            "postal_code": "280018193",
            "country_code": "US",
            "telephone_number": "910-581-4190",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUCKMAN",
        "first_name": "APRIL",
        "middle_name": "BERGQUIST",
        "credential": "PSY.M, MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-01",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P013240",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C015052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NC

Sources for this page

Verify at the official NPI Registry.