Individual provider Active NPI

Cedrina Ruffin, PHD, LCSW-S

  • Clinical Social Worker
  • Missouri City, TX
National Provider Identifier
1770141228
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
55373 Issued in TX
Practice address
4220 Cartwright Rd Ste 1105
Missouri City, TX 77459-5316
Phone
(832) 226-7029
Fax
(832) 610-3976
NPI assigned
May 30, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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 55373 TX Primary

Addresses

Primary practice location

4220 Cartwright Rd Ste 1105
Missouri City, TX 77459-5316

Mailing address

2407 Maywood Run CT
Fresno, TX 77545-7141
Phone (281) 736-0671

Other practice location 1

2407 Maywood Run Ct
Fresno, TX 77545-7141
Phone (832) 226-7029

Other identifiers 1

IdentifierTypeStateIssuer
196871101MedicaidTX

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
I20190723000262 TX Practitioner - Clinical Social Worker 0446586994 Practice locations: Fresno, TX; Missouri City, TX

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4501 Cartwright Rd
Suite 705
Missouri City, TX 77459-3541
Phone (832) 226-7029

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Epic Mental Health and Wellness, PLLC CurrentSince Apr 17, 2022 Accepting new patients
CMR Clinical Counseling and Consulting Service, PLLC Clinical CurrentSince Apr 6, 2025 Accepting new patients

Locations

4220 Cartwright Rd
Ste 1105
Missouri City, TX 77459
Phone (832) 226-7029

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1559174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1770141228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2407 MAYWOOD RUN CT",
            "city": "FRESNO",
            "state": "TX",
            "postal_code": "775457141",
            "telephone_number": "281-736-0671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4220 CARTWRIGHT RD STE 1105",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774595316",
            "telephone_number": "832-226-7029",
            "fax_number": "832-610-3976"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2407 Maywood Run Ct",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "TX",
            "postal_code": "775457141",
            "country_code": "US",
            "telephone_number": "832-226-7029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUFFIN",
        "first_name": "CEDRINA",
        "credential": "PHD, LCSW-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-30",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "55373",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "196871101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Missouri City, TX

Sources for this page

Verify at the official NPI Registry.