Individual provider Active NPI

Ruby Alexandra Maslowski, LCSW

  • Clinical Social Worker
  • Bronx, NY
National Provider Identifier
1568830859
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
088107 Issued in NY
Practice address
1882 Andrews Ave
Bronx, NY 10453-5202
Phone
(917) 650-0051
NPI assigned
Sep 3, 2015
Last updated
Nov 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 095436 NY
Clinical Social Worker 1041C0700X 088107 NY Primary

Addresses

Primary practice location

1882 Andrews Ave
Bronx, NY 10453-5202

Mailing address

1882 Andrews Ave
Bronx, NY 10453-5202
Phone (917) 650-0051

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20190424001822 NY Order and Referring Only - Clinical Social Worker 5193067072

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
095436NYMDSocial Worker
088107NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ruby Maslowski Clinical CurrentSince Nov 1, 2022 Accepting new patients

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1441238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1568830859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1882 ANDREWS AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104535202",
            "telephone_number": "917-650-0051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1882 ANDREWS AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104535202",
            "telephone_number": "917-650-0051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASLOWSKI",
        "first_name": "RUBY",
        "middle_name": "ALEXANDRA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-03",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "095436",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "088107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.