Mandy Christine Ruckman, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

101683 Issued in NY

Practice address

135 Longleaf Cir
Aberdeen, NC 28315-4575

Phone

(631) 223-8772

NPI assigned

Jul 17, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Calm Seas Psychotherapy, LCSW,PLLC

  • Clinical Social Worker
  • Mount Sinai, NY
  • NPI 1790247765
  NPD

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

{
    "created_epoch": "1658016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780790400000",
    "number": "1679208425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 LONGLEAF CIR",
            "city": "ABERDEEN",
            "state": "NC",
            "postal_code": "283154575",
            "telephone_number": "360-918-2820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 LONGLEAF CIR",
            "city": "ABERDEEN",
            "state": "NC",
            "postal_code": "283154575",
            "telephone_number": "631-223-8772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUCKMAN",
        "first_name": "MANDY",
        "middle_name": "CHRISTINE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-17",
        "last_updated": "2026-06-07",
        "certification_date": "2026-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "101683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Fronheiser DDS PLLC
• Rha Health Services NC, LLC
• Rha Health Services NC, LLC
• Rha Health Services NC, LLC
• Barbara Richardson, RPH
• Bethany T Sachs
• Sandhills Counseling & Consultation
• Sandhills Family Chiropractic PLLC (Sandhills Family Chiropractic)
• Dana Marie Santiago, PTA
• Angela Maureen Schwarz

• Clinical Social Worker in Aberdeen, NC
• Providers in Aberdeen, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2026; 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.