Individual provider Active NPI

Ruth Delores Smith, LCSW

  • Clinical Social Worker
  • Bronx, NY
National Provider Identifier
1972702371
Registry record updated Jul 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R042838 Issued in NY
Practice address
4103 Bronxwood Ave
Bronx, NY 10466-4509
Phone
(718) 547-2224
Fax
(718) 547-2224
NPI assigned
Jul 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 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 R042838 NY Primary

Addresses

Primary practice location

4103 Bronxwood Ave
Bronx, NY 10466-4509

Mailing address

4103 Bronxwood Ave
Bronx, NY 10466-4509
Phone (718) 547-2224

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
I20100820000204 NY Practitioner - Clinical Social Worker 5496889842 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Counseling LCSW PLLCGroup PAC ID 3870754427, 46 clinicians
Vocational Instruction Project Community Services, Inc.Group PAC ID 7315949062, 11 clinicians

Practice addresses (Care Compare)

3635 Bell Blvd
Suite 203
Bayside, NY 11361-2097
Phone (718) 830-0246

770 E 176TH St
Bronx, NY 10460-4617
Phone (718) 583-5150

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R042838NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Counseling LCSW, PLLC Clinical CurrentSince Dec 1, 2015 Accepting new patients
Vocational Instruction Project Community Services Inc CurrentSince Mar 24, 2018 Accepting new patients
Resolutions Counseling and Family Services LCSW PLLC Clinical CurrentSince Sep 14, 2016 Accepting new patients
Vocational Instruction Project Community Services, Inc. CurrentSince Mar 24, 2018 Accepting new patients
South Richmond Hill Recovery LLC Past Accepting new patients

Locations

2 Main St
Ste 2A
Plymouth, MA 02360

3635 Bell Blvd
Ste 203
Bayside, NY 11361
Phone (718) 504-9256

770 E 176th St
Fl 4
Bronx, NY 10460
Phone (718) 583-5150

770 E 176th St
Bronx, NY 10460
Phone (718) 466-8034

50 Fountain Plz
Ste 1400
Buffalo, NY 14202
Phone (718) 504-9256

1129 Northern Blvd
Ste 404
Manhasset, NY 11030
Phone (516) 305-5531

98120 Queens Blvd
Ste 1C
Rego Park, NY 11374
Phone (718) 268-9598

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Organizations & group practices 5

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": "1184544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184544000000",
    "number": "1972702371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4103 BRONXWOOD AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104664509",
            "telephone_number": "718-547-2224",
            "fax_number": "718-547-2224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4103 BRONXWOOD AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104664509",
            "telephone_number": "718-547-2224",
            "fax_number": "718-547-2224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "RUTH",
        "middle_name": "DELORES",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-16",
        "last_updated": "2007-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R042838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.