Active NPI
Ruth Larsen, LCSW
- Clinical Social Worker
- San Jose, CA
National Provider Identifier
1982227138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW93912
- Practice address
- 850 S. Bascom Avenue
Suite 280
San Jose, CA 95128 - Phone
- (408) 793-8827
- NPI assigned
- May 22, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW93912 | CA | Primary |
Addresses
Primary practice location
850 S. Bascom Avenue
Suite 280
San Jose, CA 95128
Mailing address
Santa Clara County Behavioral Health Services
850 S. Bascom Avenue, Suite 280
San Jose, CA 95128
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
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW93912 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590105600000",
"number": "1982227138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "SANTA CLARA COUNTY BEHAVIORAL HEALTH SERVICES",
"address_2": "850 S. BASCOM AVENUE, SUITE 280",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "95128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 S. BASCOM AVENUE",
"address_2": "SUITE 280",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "95128",
"telephone_number": "408-793-8827"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARSEN",
"first_name": "RUTH",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-22",
"last_updated": "2020-05-22",
"certification_date": "2020-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW93912",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.