Individual provider Active NPI

Rebecca Ruyle, MSW, CSWA, LCSW

  • Clinical Social Worker
  • Salem, OR
National Provider Identifier
1891213674
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L8615 Issued in OR
Practice address
1233 Edgewater St NW
Salem, OR 97304-4049
Phone
(503) 378-7526
NPI assigned
Aug 31, 2017
Last updated
Jun 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X CG60628381 WA
Clinical Social Worker 1041C0700X A5082 OR
Clinical Social Worker 1041C0700X L8615 OR Primary

Addresses

Primary practice location

1233 Edgewater St NW
Salem, OR 97304-4049

Mailing address

7409 SW Capitol Hwy
Portland, OR 97219-2432
Phone (971) 245-2915

Other practice location 1

7409 SW Capitol Hwy
Portland, OR 97219-2432
Phone (971) 245-2915

Other practice location 2

613 E McLoughlin Blvd
Vancouver, WA 98663-3358
Phone (503) 752-5630

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20201117001050 OR Practitioner - Clinical Social Worker 7719398098 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Human Services IncGroup PAC ID 7012825797, shared by 5 NPIs, 33 clinicians
Rogue Psych Consultants LLCGroup PAC ID 1850632415, 19 clinicians

Practice addresses (Care Compare)

1233 Edgewater St NW
Salem, OR 97304-4049
Phone (503) 378-7526

835 Crater Lake Ave
Medford, OR 97504-6505
Phone (503) 453-0269

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CG60628381WAMDSocial Worker
A5082ORMDClinical Social Worker
L8615ORMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rogue Psych Consultants, LLC CurrentSince Sep 1, 2025 Accepting new patients
Northwest Human Services, Inc. CurrentSince Jun 9, 2025 Accepting new patients
Northwest Human Services, Inc. CurrentSince Jun 9, 2025 Accepting new patients
County of Lincoln Current Accepting new patients
Northwest Medical Foundation of Tillamook PastSince Oct 22, 2020 Accepting new patients

Locations

4422 NE Devils Lake Blvd
Ste 2
Lincoln City, OR 97367
Phone (541) 265-4196

835 Crater Lake Ave
Medford, OR 97504
Phone (541) 507-4141

180 Atwater St N
Monmouth, OR 97361
Phone (503) 378-7526

36 SW Nye St
Newport, OR 97365
Phone (541) 265-0445

51 SW Lee St
Newport, OR 97365
Phone (541) 265-0581

2855 NW 7th St
Redmond, OR 97756
Phone (541) 668-8500

1233 Edgewater St NW
Salem, OR 97304
Phone (503) 378-7526

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1504137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1891213674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7409 SW CAPITOL HWY",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972192432",
            "telephone_number": "971-245-2915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 EDGEWATER ST NW",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973044049",
            "telephone_number": "503-378-7526"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7409 SW Capitol Hwy",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972192432",
            "country_code": "US",
            "telephone_number": "971-245-2915",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "613 E McLoughlin Blvd",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986633358",
            "country_code": "US",
            "telephone_number": "503-752-5630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUYLE",
        "first_name": "REBECCA",
        "credential": "MSW, CSWA, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-31",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WA",
            "license": "CG60628381",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "A5082",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L8615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

Verify at the official NPI Registry.