Active NPI
Joanne Ruckel, LCSW
- Social Worker
- Mount Vernon, NY
National Provider Identifier
1750625612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 083952
- Practice address
- 6 Gramatan Ave Ste 401
C/O WJCS
Mount Vernon, NY 10550-3209 - Phone
- (914) 668-8938
- Fax
- (914) 668-2545
- NPI assigned
- Nov 16, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 083952 | NY | Primary |
Addresses
Primary practice location
6 Gramatan Ave Ste 401
C/O WJCS
Mount Vernon, NY 10550-3209
Mailing address
6 Gramatan Ave Ste 401
C/O WJCS
Mount Vernon, NY 10550-3209
Phone (914) 668-8938
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 4, 2022 through Feb 4, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 083952 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603065600000",
"number": "1750625612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 GRAMATAN AVE STE 401",
"address_2": "C/O WJCS",
"city": "MOUNT VERNON",
"state": "NY",
"postal_code": "105503209",
"telephone_number": "914-668-8938",
"fax_number": "914-668-2545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 GRAMATAN AVE STE 401",
"address_2": "C/O WJCS",
"city": "MOUNT VERNON",
"state": "NY",
"postal_code": "105503209",
"telephone_number": "914-668-8938",
"fax_number": "914-668-2545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUCKEL",
"first_name": "JOANNE",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-16",
"last_updated": "2020-10-19",
"certification_date": "2020-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "083952",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Vernon, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.