Individual provider Active NPI

Cindy Ruelas-Tafolla, D.S.W

  • Clinical Social Worker
  • Richardson, TX
National Provider Identifier
1720274723
Registry record updated Jun 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
56468 Issued in TX
Practice address
600 W Campbell Rd Ste 1
Richardson, TX 75080-3357
Phone
(847) 903-5604
Fax
(224) 788-5112
NPI assigned
Sep 24, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X 4220530 TX
Clinical Social Worker 1041C0700X 56468 TX Primary

Addresses

Primary practice location

600 W Campbell Rd Ste 1
Richardson, TX 75080-3357

Mailing address

4261 E University Dr # 30-135
Prosper, TX 75078-9152
Phone (469) 237-8980

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20231201002367 NM Practitioner - Clinical Social Worker 2567899412 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
56468TXMDClinical Social Worker
4220530TXMDCase Manager/Care Coordinator

Practice roles

OrganizationSpecialtyStatusNew patients
Presbyterian Healthcare Services CurrentSince Nov 1, 2023 Accepting new patients
Presbyterian Healthcare Services CurrentSince Nov 1, 2023 Accepting new patients
Refresh in-Home Counseling LLC Clinical CurrentSince Feb 16, 2020 Accepting new patients

Locations

4588 Paradise Blvd NW
Albuquerque, NM 87114
Phone (505) 923-2070

2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577

600 W Campbell Rd
Ste 1
Richardson, TX 75080
Phone (815) 973-7117

Organizations & group practices 3

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": "1190592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622678400000",
    "number": "1720274723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4261 E UNIVERSITY DR # 30-135",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750789152",
            "telephone_number": "469-237-8980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W CAMPBELL RD STE 1",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750803357",
            "telephone_number": "847-903-5604",
            "fax_number": "224-788-5112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUELAS-TAFOLLA",
        "first_name": "CINDY",
        "name_prefix": "Dr.",
        "credential": "D.S.W",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-24",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "TX",
            "license": "4220530",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "56468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

Verify at the official NPI Registry.