Elena M Ruiz-Diaz, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

RO12257-1 Issued in NY

Practice address

19 Greenridge Ave
Andrus Children's Center
White Plains, NY 10605-1201

Phone

(914) 949-7680

Fax

(203) 274-5491

NPI assigned

Jan 8, 2007

Last updated

Jul 26, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Julia Dyckman Andrus Memorial, Inc.

  dba Andrus Childrens Center

  • Community/Behavioral Health Agency
  • White Plains, NY
  • NPI 1285628552
  NPD (past)
• Stella Medical Care LLC

  • Adult Health Nurse Practitioner
  • Stamford, CT
  • NPI 1255851481
  NPD (past)

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185408000000",
    "number": "1780732826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 WOODRIDGE DR S",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069028301",
            "telephone_number": "203-323-1251",
            "fax_number": "203-249-5048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 GREENRIDGE AVE",
            "address_2": "ANDRUS CHILDREN'S CENTER",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106051201",
            "telephone_number": "914-949-7680",
            "fax_number": "203-274-5491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ-DIAZ",
        "first_name": "ELENA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "RO12257-1",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "001414",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI JULIA DYCKMAN ANDRUS",
            "identifier": "1285628552",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00355940",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emerita Dolino Ruda, RN
• Jennifer Lynn Rudd, LCSW
• Sanjay Ruddaraju
• Leigh Rudofsky
• Benjamin Carl Rudow, D.D.S.
• Joan M Ruiz
• Audris Rumaldo
• Kristine Rupnarain
• Heather Ann Rus, OTR/L
• Deanna Marie Russell

• Clinical Social Worker in White Plains, NY
• Providers in White Plains, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2007; 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.