Individual provider Active NPI

Ruthanne E Reiter, LCSW, CADC

  • Clinical Social Worker
  • Plainfield, IL
National Provider Identifier
1629669379
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.021909 Issued in IL
Practice address
13550 S Route 30 Ste 204B
Plainfield, IL 60544-5688
Phone
(331) 264-6002
Fax
(331) 264-4291
NPI assigned
Jan 26, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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 149.021909 IL Primary

Addresses

Primary practice location

13550 S Route 30 Ste 204B
Plainfield, IL 60544-5688

Mailing address

2863 95TH St Ste 123-134
Naperville, IL 60564-9005
Phone (331) 264-6002

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
149.021909ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ruth Reiter, LCSW, PLLC Clinical CurrentSince Aug 13, 2023 Accepting new patients
Heritage Counseling Center Inc PastSince Jan 1, 2021 Accepting new patients

Locations

2863 95th St
Ste 123134
Naperville, IL 60564

13550 S Route 30
Ste 204B
Plainfield, IL 60544
Phone (331) 264-6002

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1611619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1629669379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2863 95TH ST STE 123-134",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605649005",
            "telephone_number": "331-264-6002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13550 S ROUTE 30 STE 204B",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605445688",
            "telephone_number": "331-264-6002",
            "fax_number": "331-264-4291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REITER",
        "first_name": "RUTHANNE",
        "middle_name": "E",
        "credential": "LCSW, CADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-26",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.021909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; 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.