Clarissa Joanne Ruiz, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW70999 Issued in CA

Practice address

210 S de Lacey Ave Ste 110
Pasadena, CA 91105-2074

Phone

(626) 395-7100

NPI assigned

Jan 30, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1201651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470355200000",
    "number": "1619154838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 E SANTA ANITA AVE APT P",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915012941",
            "telephone_number": "805-878-5989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 S DE LACEY AVE STE 110",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052074",
            "telephone_number": "626-395-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "CLARISSA",
        "middle_name": "JOANNE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-30",
        "last_updated": "2016-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW70999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ammi Ruiz Natharen
• Mariaisabel Ruiz Vasquez
• Paola Ruiz-Beas
• Melisa Livier Ruiz-Vallejo
• Andres Mario Ruiz, MD, MPH
• Crystal Alessandra Ruiz
• Edgar Ruiz, SUDRC
• Elena Yvette Ruiz
• Hilary Ruiz, AU.D.
• Jimena Ruiz, BA

• Clinical Social Worker in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2016; 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.