Individual provider Active NPI

George William Ruccio, LCSW

  • Clinical Social Worker
  • Nashville, TN
National Provider Identifier
1982008363
Registry record updated Jan 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6053 Issued in TN
Practice address
1233 17TH Ave S
Nashville, TN 37212-2801
Phone
(615) 390-6127
Fax
(615) 327-9399
NPI assigned
Oct 14, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2015

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 6053 TN Primary

Addresses

Primary practice location

1233 17TH Ave S
Nashville, TN 37212-2801

Mailing address

1233 17TH Ave S
Nashville, TN 37212-2801
Phone (615) 390-6127

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150319000832 TN Practitioner - Clinical Social Worker 5395062905 Practice locations: Nashville, TN
I20151103002330 TN Practitioner - Clinical Social Worker 5395062905 Practice locations: Antioch, TN

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Tennessee, HSC, College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1233 17TH S Ave
Nashville, TN 37212-2801
Phone (615) 329-4182

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6053TNMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
George Ruccio Clinical PastSince Sep 25, 2015 Accepting new patients
Center for Health Culture and Society Past Accepting new patients
Meharry Medical College Past Accepting new patients

Organizations & group practices 3

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": "1413244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421884800000",
    "number": "1982008363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1233 17TH AVE S",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372122801",
            "telephone_number": "615-390-6127",
            "fax_number": "615-327-9399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 17TH AVE S",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372122801",
            "telephone_number": "615-390-6127",
            "fax_number": "615-327-9399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUCCIO",
        "first_name": "GEORGE",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-10-14",
        "last_updated": "2015-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "6053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.