Active NPI
Cindy Ruelas-Tafolla, D.S.W
- Clinical Social Worker
- Richardson, TX
National Provider Identifier
1720274723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 56468
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56468 | TX | MD | Clinical Social Worker |
| 4220530 | TX | MD | Case Manager/Care Coordinator |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Presbyterian Healthcare Services | Current | Accepting new patients | |
| Presbyterian Healthcare Services | Current | Accepting new patients | |
| Refresh in-Home Counseling LLC | Clinical | Current | 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.
-
- Internal Medicine Physician
- Albuquerque, NM
- NPI 1104802354
-
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1215913470
-
- Clinical Social Worker
- Antioch, IL
- NPI 1609365519
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.