Active NPI
Ruth Ann Ische, MA LICSW
- Clinical Social Worker
- Eden Prairie, MN
National Provider Identifier
1891858916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6713
- 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, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.