Individual provider Active NPI

Lisa C Ruane, LCSW, CHT

  • Clinical Social Worker
  • Oradell, NJ
National Provider Identifier
1952879256
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05623100 Issued in NJ
Practice address
334 Kinderkamack Rd FL 2
Oradell, NJ 07649-2102
Phone
(201) 416-9043
NPI assigned
Nov 5, 2018
Reactivated
Feb 4, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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 44SC05623100 NJ Primary

Addresses

Primary practice location

334 Kinderkamack Rd FL 2
Oradell, NJ 07649-2102

Mailing address

334 Kinderkamack Rd FL 2
Oradell, NJ 07649-2102
Phone (201) 416-9043

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

State licenses

LicenseStateTypeSpecialty
44SC05623100NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Heart & Soul Sanctuary Current Accepting new patients

Locations

334 Kinderkamack Rd
#2
Oradell, NJ 07649
Phone (201) 416-9043

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": "1541376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1952879256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "334 KINDERKAMACK RD FL 2",
            "city": "ORADELL",
            "state": "NJ",
            "postal_code": "076492102",
            "telephone_number": "201-416-9043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "334 KINDERKAMACK RD FL 2",
            "city": "ORADELL",
            "state": "NJ",
            "postal_code": "076492102",
            "telephone_number": "201-416-9043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUANE",
        "first_name": "LISA",
        "middle_name": "C",
        "credential": "LCSW, CHT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-05",
        "last_updated": "2025-02-04",
        "deactivation_date": "2018-11-06",
        "reactivation_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05623100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oradell, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; 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.