Individual provider Active NPI

Ruth Jelline Myers, LCSW-R

  • Clinical Social Worker
  • Rochester, NY
National Provider Identifier
1578731162
Registry record updated Apr 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R070019 Issued in NY
Practice address
945 E Henrietta Rd
Suite A7
Rochester, NY 14623-1419
Phone
(585) 230-8441
Fax
(585) 272-8986
NPI assigned
Feb 15, 2008
Last updated
Apr 25, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2012

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 R070019 NY Primary

Addresses

Primary practice location

945 E Henrietta Rd
Suite A7
Rochester, NY 14623-1419

Mailing address

945 E Henrietta Rd
Suite A7
Rochester, NY 14623-1419
Phone (585) 230-8441

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
R070019NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1203033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335312000000",
    "number": "1578731162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 E HENRIETTA RD",
            "address_2": "SUITE A7",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146231419",
            "telephone_number": "585-230-8441",
            "fax_number": "585-272-8986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 E HENRIETTA RD",
            "address_2": "SUITE A7",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146231419",
            "telephone_number": "585-230-8441",
            "fax_number": "585-272-8986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "RUTH",
        "middle_name": "JELLINE",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-15",
        "last_updated": "2012-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R070019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2012; 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.