Sandra L Ruen, MSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

34000946A Issued in IN

Practice address

2805 Fairfield Ave
C/O Tamara Roller
Fort Wayne, IN 46807-1218

Phone

(260) 456-4880

Fax

(260) 456-3559

NPI assigned

Aug 31, 2006

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

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225065600000",
    "number": "1720199045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2805 FAIRFIELD AVE",
            "address_2": "C/O TAMARA ROLLER",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468071218",
            "telephone_number": "260-456-4880",
            "fax_number": "260-456-3559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2805 FAIRFIELD AVE",
            "address_2": "C/O TAMARA ROLLER",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468071218",
            "telephone_number": "260-456-4880",
            "fax_number": "260-456-3559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUEN",
        "first_name": "SANDRA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IN",
            "license": "34000946A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHP",
            "identifier": "13580",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00449240",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100463070",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melea Ann Rudig
• Michael Rudoff, D.O.
• James Raymond Rudolph, M.D.
• Rhys Rudolph, M.D.
• Thomas M Ruediger, PT
• Joel A Ruetz, PA-C
• Sarita Ruetz, P.A.-C
• Daminica Ruffin-Jones
• Mariah Ruffin
• Erasmo Ruggiero, DO

• Social Worker in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2008; 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.