Individual provider Active NPI

Ellen M. Rugg, MSW, LICSW

  • Clinical Social Worker
  • Seattle, WA
National Provider Identifier
1558349258
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW00004447 Issued in WA
Practice address
4511 Densmore Ave N
Suite B
Seattle, WA 98103-6783
Phone
(206) 547-7844
NPI assigned
Jan 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 LW00004447 WA Primary

Addresses

Primary practice location

4511 Densmore Ave N
Suite B
Seattle, WA 98103-6783

Mailing address

4511 Densmore Ave N
Suite B
Seattle, WA 98103-6783
Phone (206) 547-7844

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 1, 2014 through Apr 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LW00004447WAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1558349258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4511 DENSMORE AVE N",
            "address_2": "SUITE B",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981036783",
            "telephone_number": "206-547-7844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4511 DENSMORE AVE N",
            "address_2": "SUITE B",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981036783",
            "telephone_number": "206-547-7844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUGG",
        "first_name": "ELLEN",
        "middle_name": "M.",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-04",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00004447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.