Individual provider Active NPI

Elba Ruibal, SOCIAL WORKER

  • Clinical Social Worker
  • Houston, TX
National Provider Identifier
1730408394
Registry record updated Oct 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
28789 Issued in TX
Practice address
7109B Lawndale St
Houston, TX 77023-4248
Phone
(713) 924-4907
Fax
(713) 924-3012
NPI assigned
May 21, 2010
Reactivated
Oct 11, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 28789 TX Primary

Addresses

Primary practice location

7109B Lawndale St
Houston, TX 77023-4248

Mailing address

7109B Lawndale St
Houston, TX 77023-4248
Phone (713) 924-4907

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20231101000614 TX Practitioner - Clinical Social Worker 6305292053 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gericare Behavioral Health PLLC Clinical CurrentSince Oct 1, 2023 Accepting new patients
Calixto J Ruibal MD PA Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1274400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1730408394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7109B LAWNDALE ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770234248",
            "telephone_number": "713-924-4907",
            "fax_number": "713-924-3012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7109B LAWNDALE ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770234248",
            "telephone_number": "713-924-4907",
            "fax_number": "713-924-3012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIBAL",
        "first_name": "ELBA",
        "name_prefix": "Ms.",
        "credential": "SOCIAL WORKER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-21",
        "last_updated": "2023-10-11",
        "deactivation_date": "2019-01-02",
        "reactivation_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "28789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.