Tia Marie Ruggiero, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P98230 Issued in NY

Practice address

333 Glen St Ste 603
Glens Falls, NY 12801-3666

Phone

(838) 238-0288

NPI assigned

Jul 13, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Dragonfly Haven of the Adirondacks LCSW, PLLC

  • Adolescent and Children Mental Health Clinic/Center
  • Glens Falls, NY
  • NPI 1689303869
  Medicare reassignment NPD Authorized official
• Well Child Psychiatric NP PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Glens Falls, NY
  • NPI 1508514340
  NPD

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

{
    "created_epoch": "1436745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1598149395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 GLEN ST STE 603",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128013666",
            "telephone_number": "838-238-0288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 GLEN ST STE 603",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128013666",
            "telephone_number": "838-238-0288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUGGIERO",
        "first_name": "TIA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LCSW-R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-13",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "P98230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IRS",
            "identifier": "88-2382098",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ayresleigh Rowland, MD
• Gwen M Rowland, MSW
• Jennifer P Rowley, MD
• Lauren G Roy, PT
• Nora Rubado
• Michael Ruhnau, RD, CDN
• Christopher Ruland, LMSW
• Isaac John Rumpf, PHARMD, RPH
• Annie Russell
• Colette Ryan, MSED

• Clinical Social Worker in Glens Falls, NY
• Providers in Glens Falls, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.