KIMBERLY EUGENIA RUISE (NPI# 1063052421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063052421 |
| Entity Type | Individual |
| Full Name | KIMBERLY EUGENIA RUISE |
| Credential | BS |
| Practice Address |
2392 Edgewood Ave N Jacksonville FL 32254-1725 |
| Practice Telephone | 9047817797 |
| Practice Fax Number | 9047818685 |
| Mailing Telephone | 9047817797 |
| Mailing Fax Number | 9047818685 |
| Enumeration Date | 2020-01-13 |
| Last Update Date | 2020-01-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| Street Address |
2392 EDGEWOOD AVE N |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32254-1725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023016839 | Northwest Behavioral Health Services, Inc. | Case Management | 2392 Edgewood Ave N, Jacksonville, FL 32254-1725 | 2005-07-14 |
| 1073110508 | Tia Denise Womack | Counselor | 2392 Edgewood Ave N, Jacksonville, FL 32254-1725 | 2020-10-07 |
| 1073128088 | Catherine Knight | Counselor | 2392 Edgewood Ave N, Jacksonville, FL 32254-1725 | 2020-09-15 |
| 1063022374 | Denzal Dillard | Social Worker | 2392 Edgewood Ave N, Jacksonville, FL 32254-1725 | 2020-08-03 |
| 1447860663 | Shawnee Kereenyaga | Social Worker | 2392 Edgewood Ave N, Jacksonville, FL 32254-1725 | 2020-08-03 |
| 1851919641 | Titus L Kent Sr. | Social Worker | 2392 Edgewood Ave N, Jacksonville, FL 32254-1725 | 2020-07-08 |
| 1558999722 | Antia R Henderson | Case Manager/Care Coordinator | 2392 Edgewood Ave N, Jacksonville, FL 32254-1725 | 2020-04-01 |
| 1992331011 | Northwest Behavioral Health | Case Management | 2392 Edgewood Ave N, Jacksonville, FL 32254-1725 | 2020-03-20 |
| 1588294086 | Beatrice I Elias | Counselor | 2392 Edgewood Ave N, Jacksonville, FL 32254-1725 | 2020-01-23 |
| 1174163539 | Aileen Aro Cancel | Social Worker | 2392 Edgewood Ave N, Jacksonville, FL 32254-1725 | 2020-01-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730673385 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1301 W Palm Ave Ste 210, Jacksonville, FL 32254 | 2018-06-18 |
| 1578072112 | Jules M Jean-pierre | Counselor | 2392 North Edgewood Avenue, Jacksonville, FL 32254 | 2017-09-27 |
| 1356869051 | Volaura Shanae Anderson | Counselor | 590 Ellis Rd, Jacksonville, FL 32254 | 2017-09-01 |
| 1962928291 | Angel Spivie | Counselor | 590 Ellis Road South Building 4, Jacksonville, FL 32254 | 2017-08-18 |
| 1376072777 | Tarkeshia Shuman | Contractor | 3150 Broadway Ave, Jacksoville, FL 32254 | 2017-06-08 |
| 1770931636 | Mamie Faith Peterson-mclaurn | Home Health | 2747 Sophia St, Jax, FL 32254 | 2016-06-01 |
| 1760803373 | Marian Lavonne Jones | Custodial Care Facility | 3501 Centerhill Dr. North, Jacksonville, FL 32254 | 2013-12-27 |
| 1659543981 | Monique Bosque-perez | Family Medicine | 781 Edgewood Ave N, Ufjp Commonwealth Family Practice, Jacksonville, FL 32254 | 2008-03-26 |
| 1508906652 | James Keith Riesz | Physical Therapist | 800 Lomax Street, Suite 105, Jacksonville, FL 32254 | 2007-02-07 |
| 1003903865 | Sabrina F Sessions | Pharmacist | 5050 Edgewood Court, Jacksonville, FL 32254 | 2006-10-05 |
| Find all providers in zip 32254 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326653718 | Regina Sherman | Social Worker | 10135 Gate Pkwy N Suite 1516, Jacksonville, FL 32246-8267 | 2020-09-11 |
| 1275155368 | Christy Orellana | Social Worker | 5011 Gate Parkway Bldg 100 Suite 100, Jacksonville, FL 32256 | 2020-05-11 |
| 1700412822 | Marie Vernal | Social Worker | 6051 Arlington Expressway Suite 169, Jacksonville, FL 32211 | 2020-03-20 |
| 1790325199 | Brittany Barrett | Social Worker | 1526 Parental Home Rd, Jacksonville, FL 32216-3010 | 2020-01-14 |
| 1215592654 | Giana Marie Bobka | Social Worker | 3831 Forest Blvd, Jacksonville, FL 32246-6474 | 2019-05-01 |
| 1063979532 | Morgan E Phoebus | Social Worker | 209 Sage Pl, Jacksonville, NC 28540-3109 | 2019-02-20 |
| 1629549290 | Christina Roman | Social Worker | 6810 Long Meadow Cir S, Jacksonville, FL 32244-6177 | 2018-12-07 |
| 1356826549 | Shecolby Sims | Social Worker | 11640 Tanager Dr, Jacksonville, FL 32225-2565 | 2018-10-03 |
| 1275023558 | Vernell King | Social Worker | 233 E Bay St Ste 916, Jacksonville, FL 32202-3456 | 2018-05-13 |
| 1316436660 | Sheronda Nicole Holzendorf | Social Worker | 5559 Verbena Rd, Jacksonville, FL 32209-2418 | 2018-05-02 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32254 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.