Individual provider Active NPI

Ruth Ann Myers, LICSW

  • Clinical Social Worker
  • North Bennington, VT
National Provider Identifier
1598790370
Registry record updated Dec 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
89-0000055 Issued in VT
Practice address
940 Water St Unit 9
North Bennington, VT 05257-9814
Phone
(802) 753-1571
Fax
(802) 442-1200
NPI assigned
Jul 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2010

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 89-0000055 VT Primary

Addresses

Primary practice location

940 Water St Unit 9
North Bennington, VT 05257-9814

Mailing address

940 Water St Unit 9
North Bennington, VT 05257-9814
Phone (802) 753-1571

Other identifiers 1

IdentifierTypeStateIssuer
OVN0333MedicaidVT

Other names 1

  • Ms. Ruth Ann Myers Professional name

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: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
89-0000055VTMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292284800000",
    "number": "1598790370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 WATER ST UNIT 9",
            "city": "NORTH BENNINGTON",
            "state": "VT",
            "postal_code": "052579814",
            "telephone_number": "802-753-1571",
            "fax_number": "802-442-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 WATER ST UNIT 9",
            "city": "NORTH BENNINGTON",
            "state": "VT",
            "postal_code": "052579814",
            "telephone_number": "802-753-1571",
            "fax_number": "802-442-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "RUTH ANN",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2010-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "89-0000055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OVN0333",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RUTH ANN",
            "last_name": "MYERS",
            "prefix": "MS.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in North Bennington, VT

Sources for this page

Verify at the official NPI Registry.