Individual provider Active NPI

Ruth Ann Ische, MA LICSW

  • Clinical Social Worker
  • Eden Prairie, MN
National Provider Identifier
1891858916
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6713 Issued in MN
Practice address
9531 W 78TH Street
Suite 145 Eden Prairie Counselling Sr Ruth Ann Ische Ma
Eden Prairie, MN 55344-3828
Phone
(952) 891-9943
Fax
(952) 943-9750
NPI assigned
Dec 19, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 6713 MN Primary

Addresses

Primary practice location

9531 W 78TH Street
Suite 145 Eden Prairie Counselling Sr Ruth Ann Ische Ma
Eden Prairie, MN 55344-3828

Mailing address

73 Garden Drive
Ruth Ann Ische
Burnsville, MN 55337-4145
Phone (952) 431-3091

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891858916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 GARDEN DRIVE",
            "address_2": "RUTH ANN ISCHE",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553374145",
            "telephone_number": "952-431-3091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9531 W 78TH STREET",
            "address_2": "SUITE 145 EDEN PRAIRIE COUNSELLING SR RUTH ANN ISCHE MA",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553443828",
            "telephone_number": "952-891-9943",
            "fax_number": "952-943-9750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISCHE",
        "first_name": "RUTH",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "MA LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "6713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eden Prairie, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.