Ruth Lynne Kelly, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

M-06496 Issued in NM

Practice address

I40 W Exit 131 Highway 56 N
Acl Teen Centers to'Hajiilee Community School
To'Hajiilee, NM 87026

Phone

(505) 908-2377

Fax

(505) 908-2370

NPI assigned

Aug 29, 2007

Last updated

Aug 16, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345075200000",
    "number": "1992999296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2703 FRONTIER STE 120",
            "address_2": "UNM PRC ACL TEEN CENTERS MSC 11 6145",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871310001",
            "telephone_number": "505-272-4462",
            "fax_number": "505-272-4857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "I40 W EXIT 131 HIGHWAY 56 N",
            "address_2": "ACL TEEN CENTERS TO'HAJIILEE COMMUNITY SCHOOL",
            "city": "TO'HAJIILEE",
            "state": "NM",
            "postal_code": "87026",
            "telephone_number": "505-908-2377",
            "fax_number": "505-908-2370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "RUTH",
        "middle_name": "LYNNE",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-29",
        "last_updated": "2012-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NM",
            "license": "M-06496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brennia Delacruz, RN BSN
• Tyrone Etsitty
• Judith Gould, RN
• Mariah Kayla Jake
• Jonathan John Johnson
• Elaine Little, R.D.
• Kimberly Ann Madden, MSN, RN
• Marian Nez, CHW
• Sheryl Ann O'Shea, M.D.
• Demetria Robina Platero, CPSS

• Social Worker in To'hajiilee, NM
• Providers in To'hajiilee, NM by specialty
• Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2012; 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.