Debra Ruisard, LCSW, LCADC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05373100 Issued in NJ

Practice address

182 Tamarack Cir
Skillman, NJ 08558-2021

Phone

(609) 688-8300

Fax

(609) 688-8333

NPI assigned

Nov 16, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1195171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655942400000",
    "number": "1891976080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 NELSON ST",
            "city": "WHITEHOUSE STATION",
            "state": "NJ",
            "postal_code": "088893278",
            "telephone_number": "908-295-8597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "182 TAMARACK CIR",
            "city": "SKILLMAN",
            "state": "NJ",
            "postal_code": "085582021",
            "telephone_number": "609-688-8300",
            "fax_number": "609-688-8333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUISARD",
        "first_name": "DEBRA",
        "credential": "LCSW, LCADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-16",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05373100",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00161800",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL05395200",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pavani Rao
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• Bruce E Reim, MSW
• Mary Anne Richmond, D.M.D., M.S.
• Jean Robinson, LPC
• John Arthur Rumberger, MD
• Safe Place Counseling and Therapy Center
• Safe Therapy, Inc.
• Saker Shoprites Inc (Shoprite Pharmacy #617)
• Samantha Denise Sanchez, LSW

• Clinical Social Worker in Skillman, NJ
• Providers in Skillman, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; 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.