Jacque Ruch LCSW, LTD.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

149015073 Issued in IL

Legal business name

JACQUE RUCH LCSW, LTD.

Practice address

6975 Redansa Dr
Rockford, IL 61108-1201

Phone

(815) 398-7000

Fax

(815) 395-0671

NPI assigned

Sep 29, 2014

Organization subpart

No

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

Authorized official

Name

Jacquelyn J Ruch, LCSWNPI 1407129471

Title

Owner

Phone

(815) 243-8332

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacquelyn J Ruch, LCSW

  • Clinical Social Worker
  • Sarasota, FL
  • NPI 1407129471
  NPD Authorized official

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

{
    "created_epoch": "1411948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411948800000",
    "number": "1760885255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4635 BEDFORDSHIRE DR",
            "city": "LOVES PARK",
            "state": "IL",
            "postal_code": "611114481",
            "telephone_number": "815-243-8332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6975 REDANSA DR",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611081201",
            "telephone_number": "815-398-7000",
            "fax_number": "815-395-0671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACQUE RUCH LCSW, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-29",
        "last_updated": "2014-09-29",
        "status": "A",
        "authorized_official_last_name": "RUCH",
        "authorized_official_first_name": "JACQUELYN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-243-8332",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "149015073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1407129471",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Justin Jacobson, PA
• Lindsey Jacobson, PTA
• Tracy Jacobson, NP
• Richard L Jaconette, MD
• Jacque Ruch LCSW, LTD.
• Anna Maria Jacques, DO
• Mohsin Jafri, D.O.
• Mahwish Rasheed Jafry, FNP-BC
• Shahina H Jafry, M.D.
• Mahendra Kumar Jain

• Community/Behavioral Health Agency in Rockford, IL
• Providers in Rockford, IL by specialty
• Community/Behavioral Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2014; 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.