Individual provider Active NPI

Ruthann Jaffe Birnbaum, LCSW

  • Clinical Social Worker
  • Stamford, CT
National Provider Identifier
1699000729
Registry record updated Nov 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
002412 Issued in CT
Practice address
60 Palmers Hill Rd
Stamford, CT 06902-2113
Phone
(203) 629-2822
Fax
(203) 629-2940
NPI assigned
Oct 7, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 002412 CT Primary
Clinical Social Worker 1041C0700X 036884-1 NY

Addresses

Primary practice location

60 Palmers Hill Rd
Stamford, CT 06902-2113

Mailing address

60 Palmers Hill Rd
Stamford, CT 06902-2113
Phone (203) 629-2822

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161123000417 CT Practitioner - Clinical Social Worker 6103105788 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1983
Medicare assignment
May accept Medicare assignment
Group practices
Jewish Family Services of Greenwich IncGroup PAC ID 2062497001, 18 clinicians

Practice addresses (Care Compare)

1 Holly Hill LN
Greenwich, CT 06830-6001

67 Holly Hill LN
Greenwich, CT 06830-6072
Phone (203) 622-1881

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
036884-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Family Services of Greenwich Inc Clinical CurrentSince Aug 1, 2018 Accepting new patients

Locations

67 Holly Hill Ln
Greenwich, CT 06830
Phone (203) 622-1881

Organizations & group practices 1

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": "1254873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321315200000",
    "number": "1699000729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 PALMERS HILL RD",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069022113",
            "telephone_number": "203-629-2822",
            "fax_number": "203-629-2940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 PALMERS HILL RD",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069022113",
            "telephone_number": "203-629-2822",
            "fax_number": "203-629-2940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAFFE BIRNBAUM",
        "first_name": "RUTHANN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-07",
        "last_updated": "2011-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "002412",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "036884-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

Verify at the official NPI Registry.