Individual provider Active NPI

Lynn Ruder, LCSW

  • Clinical Social Worker
  • Melville, NY
National Provider Identifier
1942742101
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
090770 Issued in NY
Practice address
275 Broadhollow Rd Ste 120
Melville, NY 11747-4863
Phone
(845) 279-5908
Fax
(845) 622-5055
NPI assigned
Nov 4, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 090770 NY Primary
Clinical Social Worker 1041C0700X
Clinical Social Worker 1041C0700X 72 098159 NY

Addresses

Primary practice location

275 Broadhollow Rd Ste 120
Melville, NY 11747-4863

Mailing address

667 Stoneleigh Ave Ste 202
Carmel, NY 10512-2455
Phone (845) 279-5908

Other practice location 1

22 Oakwood Rd
Huntington, NY 11743-4231
Phone (866) 232-7328

Other practice location 2

240 Long Island Ave
Wyandanch, NY 11798-3123
Phone (631) 782-6200

Other practice location 3

5036 Jericho Tpke Ste 203
Commack, NY 11725-2812
Phone (631) 278-9259

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
090770NYMDClinical Social Worker
72 098159NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Carmel Psychological Health, PC Clinical CurrentSince Sep 14, 2026 Accepting new patients

Locations

667 Stoneleigh Ave
Ste 202
Carmel, NY 10512
Phone (845) 278-5223

275 Broadhollow Rd
Ste 120
Melville, NY 11747
Phone (631) 323-6872

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1478217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1942742101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "667 STONELEIGH AVE STE 202",
            "city": "CARMEL",
            "state": "NY",
            "postal_code": "105122455",
            "telephone_number": "845-279-5908",
            "fax_number": "845-622-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 BROADHOLLOW RD STE 120",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117474863",
            "telephone_number": "845-279-5908",
            "fax_number": "845-622-5055"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22 Oakwood Rd",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "NY",
            "postal_code": "117434231",
            "country_code": "US",
            "telephone_number": "866-232-7328",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "240 Long Island Ave",
            "address_purpose": "LOCATION",
            "city": "Wyandanch",
            "state": "NY",
            "postal_code": "117983123",
            "country_code": "US",
            "telephone_number": "631-782-6200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5036 Jericho Tpke Ste 203",
            "address_purpose": "LOCATION",
            "city": "Commack",
            "state": "NY",
            "postal_code": "117252812",
            "country_code": "US",
            "telephone_number": "631-278-9259",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUDER",
        "first_name": "LYNN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-04",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "090770",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "72 098159",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melville, NY

Sources for this page

Verify at the official NPI Registry.