Leslie C Ruiz, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34007157A Issued in IN

Practice address

445 S Landmark Ave
Bloomington, IN 47403-5004

Phone

(812) 322-8802

NPI assigned

Dec 4, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

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

Specialty

Clinical Social Worker

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jennifer Spencer PHD HSPP PCGroup PAC ID 0244384758, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Jennifer Spencer PHD HSPP PC

  • Community/Behavioral Health Agency
  • Bloomington, IN
  • NPI 1932331345
  Medicare reassignment Care Compare group NPD
• Centerstone of Indiana, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bloomington, IN
  • NPI 1972320224
  NPD (past)
• Quinco Consulting Center Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Nashville, IN
  • NPI 1154452167
  NPD (past)

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

{
    "created_epoch": "1354579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523836800000",
    "number": "1992040810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 W 3RD ST",
            "address_2": "SPENCER PSYCHOLOGY",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474045209",
            "telephone_number": "812-333-8474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 S LANDMARK AVE",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474035004",
            "telephone_number": "812-322-8802"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "91 W Mound St",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "IN",
            "postal_code": "474487049",
            "country_code": "US",
            "telephone_number": "812-988-2258",
            "fax_number": "812-988-2257",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "LESLIE",
        "middle_name": "C",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-04",
        "last_updated": "2018-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IN",
            "license": "33006519A",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34007157A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Roy
• Chad E Royer, O.T.
• Katherine Anne Roza, MD
• Bella Ruden
• Tara Jo Rudisill, PA-C
• Lisa Marie Ruiz, M.D.
• Elizabeth Rumley, RBT
• Bridget Rund, NP
• Matthew David Runnebohm, M.D.
• Alyah Rupley, RBT

• Clinical Social Worker in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.