Active NPI
Marc Ruggiero, L.C.S.W.
- Clinical Social Worker
- Kalispell, MT
National Provider Identifier
1679820682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2354-LCSW
- Practice address
- 40 2ND St E Ste 236
Kalispell, MT 59901-6114 - Phone
- (406) 758-8118
- NPI assigned
- Aug 8, 2012
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2354-LCSW | MT | Primary |
Addresses
Primary practice location
40 2ND St E Ste 236
Kalispell, MT 59901-6114
Mailing address
123 Stonefly Way
Columbia Falls, MT 59912-8632
Phone (406) 249-0091
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2354-LCSW | MT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518739200000",
"number": "1679820682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 STONEFLY WAY",
"city": "COLUMBIA FALLS",
"state": "MT",
"postal_code": "599128632",
"telephone_number": "406-249-0091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 2ND ST E STE 236",
"city": "KALISPELL",
"state": "MT",
"postal_code": "599016114",
"telephone_number": "406-758-8118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUGGIERO",
"first_name": "MARC",
"credential": "L.C.S.W.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-08-08",
"last_updated": "2018-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MT",
"license": "2354-LCSW",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kalispell, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.