Individual provider Active NPI

Ruth R. Williams

  • Social Worker
  • Lorain, OH
National Provider Identifier
1992290589
Registry record updated Jun 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
S27558 Issued in OH
Practice address
2314 Kelly PL
Lorain, OH 44052-4838
Phone
(440) 246-4616
Fax
(440) 246-1997
NPI assigned
Jun 26, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X S27558 OH Primary

Addresses

Primary practice location

2314 Kelly PL
Lorain, OH 44052-4838

Mailing address

2314 Kelly PL
Lorain, OH 44052-4838
Phone (440) 246-4616

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
S27558OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lorain Urban Minority Alcoholism and Drug Abuse Outreach Program CurrentSince May 23, 2017 Accepting new patients

Locations

2314 Kelly Pl
Lorain, OH 44052
Phone (440) 246-4616

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": "1529971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529971200000",
    "number": "1992290589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2314 KELLY PL",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440524838",
            "telephone_number": "440-246-4616",
            "fax_number": "440-246-1997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2314 KELLY PL",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440524838",
            "telephone_number": "440-246-4616",
            "fax_number": "440-246-1997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "RUTH",
        "middle_name": "R.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-26",
        "last_updated": "2018-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S27558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lorain, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2018; 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.