Individual provider Active NPI

Ruth Love, LMSW, MSCCC

  • Social Worker
  • Farmingville, NY
National Provider Identifier
1811291313
Registry record updated May 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
1004121 Issued in NY
Practice address
15 Horseblock Place
Farmingville Mental Health Clinic
Farmingville, NY 11720-1821
Phone
(631) 854-2552
NPI assigned
Dec 27, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 1004121 NY Primary
Speech-Language Pathologist 235Z00000X 008257-1 NY

Addresses

Primary practice location

15 Horseblock Place
Farmingville Mental Health Clinic
Farmingville, NY 11720-1821

Mailing address

75 Fairmount St
Huntington, NY 11743-3504
Phone (631) 804-2218

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20211011002203 NY Practitioner - Clinical Social Worker 4587062286 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Suffolk Counseling ServicesGroup PAC ID 1355603259, 13 clinicians

Practice addresses (Care Compare)

23 Candee Ave
Sayville, NY 11782-3055
Phone (631) 629-2250

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1004121NYMDSocial Worker
008257-1NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Suffolk Counseling Services CurrentSince Sep 1, 2021 Accepting new patients

Locations

258 E Main St
Babylon, NY 11702
Phone (631) 629-2250

23 Candee Ave
Sayville, NY 11782
Phone (631) 629-2250

Organizations & group practices 1

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": "1293408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494460800000",
    "number": "1811291313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 FAIRMOUNT ST",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117433504",
            "telephone_number": "631-804-2218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 HORSEBLOCK PLACE",
            "address_2": "FARMINGVILLE MENTAL HEALTH CLINIC",
            "city": "FARMINGVILLE",
            "state": "NY",
            "postal_code": "117201821",
            "telephone_number": "631-854-2552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVE",
        "first_name": "RUTH",
        "credential": "LMSW, MSCCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-27",
        "last_updated": "2017-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "1004121",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "008257-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmingville, NY

Sources for this page

Verify at the official NPI Registry.