Active NPI
Ruby Branson, LCSW
- Social Worker
- Philadelphia, PA
National Provider Identifier
1669148342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 104113
- Practice address
- 634 Kimball St
Philadelphia, PA 19147-4802 - Phone
- (512) 751-6212
- NPI assigned
- Aug 21, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 104113 | TX | Primary |
Addresses
Primary practice location
634 Kimball St
Philadelphia, PA 19147-4802
Mailing address
634 Kimball St
Philadelphia, PA 19147-4802
Phone (512) 751-6212
Other practice location 1
403 Post Road Dr
Austin, TX 78704-7017
Phone (512) 751-6212
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727136000000",
"number": "1669148342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "634 KIMBALL ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191474802",
"telephone_number": "512-751-6212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "634 KIMBALL ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191474802",
"telephone_number": "512-751-6212"
}
],
"practiceLocations": [
{
"address_1": "403 Post Road Dr",
"address_purpose": "LOCATION",
"city": "Austin",
"state": "TX",
"postal_code": "787047017",
"country_code": "US",
"telephone_number": "512-751-6212",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRANSON",
"first_name": "RUBY",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-08-21",
"last_updated": "2024-09-24",
"certification_date": "2024-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TX",
"license": "104113",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.