Active NPI
Ruth D Lax, MSW, LCSW
- Clinical Social Worker
- Marlboro, NJ
National Provider Identifier
1932289923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC04408200
- Practice address
- 30 N Main St
Marlboro, NJ 07746-1429 - Phone
- (732) 683-0904
- NPI assigned
- Oct 16, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SC04408200 | NJ | Primary |
| Clinical Social Worker | 1041C0700X | PR041513-1 | NY |
Addresses
Primary practice location
30 N Main St
Marlboro, NJ 07746-1429
Mailing address
23 Gainsborough CT
Manalapan, NJ 07726-8955
Phone (732) 683-0904
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 133396000 | Other | MAGELLAN BEHAVIORAL HEALT | |
| 6276465 | Other | UNITED BEHAVIORAL HEALTH | |
| 113784 | Other | VALUE OPTIONS HEALTH CARE | |
| P1677617 | Other | OXFORD HEALTH CARE |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SC04408200 | NJ | MD | Clinical Social Worker |
| PR041513-1 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1932289923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 GAINSBOROUGH CT",
"city": "MANALAPAN",
"state": "NJ",
"postal_code": "077268955",
"telephone_number": "732-683-0904",
"fax_number": "732-683-0277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 N MAIN ST",
"city": "MARLBORO",
"state": "NJ",
"postal_code": "077461429",
"telephone_number": "732-683-0904"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAX",
"first_name": "RUTH",
"middle_name": "D",
"name_prefix": "Ms.",
"credential": "MSW, LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC04408200",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "PR041513-1",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN BEHAVIORAL HEALT",
"identifier": "133396000",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED BEHAVIORAL HEALTH",
"identifier": "6276465",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS HEALTH CARE",
"identifier": "113784",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD HEALTH CARE",
"identifier": "P1677617",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marlboro, NJ
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.