Individual provider Active NPI

Ruthellen Bunis, LCSW

  • Clinical Social Worker
  • Buffalo, NY
National Provider Identifier
1942221007
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R023693-1 Issued in NY
Practice address
3580 Harlem Rd
Buffalo, NY 14215-2048
Phone
(716) 836-6460
Fax
(716) 836-1578
NPI assigned
Jul 22, 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 R023693-1 NY Primary

Addresses

Primary practice location

3580 Harlem Rd
Buffalo, NY 14215-2048

Mailing address

3580 Harlem Rd
Buffalo, NY 14215-2048
Phone (716) 836-6460

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20101018000881 NY Practitioner - Clinical Social Worker 0143413526 Practice locations: Williamsville, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1968
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5820 Main St
Suite 203
Williamsville, NY 14221-5734
Phone (716) 984-1883

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R023693-1NYMDClinical Social Worker
023693NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Life Transitions Center, Inc. Past Accepting new patients

Organizations & group practices 1

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": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942221007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3580 HARLEM RD",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142152048",
            "telephone_number": "716-836-6460",
            "fax_number": "716-836-1578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3580 HARLEM RD",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142152048",
            "telephone_number": "716-836-6460",
            "fax_number": "716-836-1578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNIS",
        "first_name": "RUTHELLEN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R023693-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.