MS. MARIAM E HENDERSON-RUCKER (NPI# 1760015341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760015341 |
| Entity Type | Individual |
| Full Name | MS. MARIAM E HENDERSON-RUCKER |
| Credential | LISW |
| Practice Address |
3700 Kolbe Rd Lorain OH 44053-1611 |
| Mailing Address |
3500 Kolbe Rd Lorain OH 44053-1632 |
| Practice Telephone | 4402224003 |
| Mailing Telephone | 4409341458 |
| Mailing Fax Number | 4409603608 |
| Enumeration Date | 2020-02-21 |
| Last Update Date | 2020-02-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
I.1901902 | OH | Behavioral Health & Social Service Providers |
| Street Address |
3700 KOLBE RD |
| City | LORAIN |
| State | OH |
| Zip Code | 44053-1611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841291341 | Michael J. Choban | Anesthesiology | 3700 Kolbe Rd, Lorain, OH 44053-1611 | 2005-08-09 |
| 1972126381 | Mercy Health Physicians Lorain Specialty Care LLC | Allergy & Immunology | 3700 Kolbe Rd, Lorain, OH 44053-1611 | 2020-05-20 |
| 1407479082 | Cory Jarosi | Student in an Organized Health Care Education/Training Program | 3700 Kolbe Rd, Lorain, OH 44053-1611 | 2020-05-18 |
| 1942843735 | Jeffery Daniel Linscheid | Student in an Organized Health Care Education/Training Program | 3700 Kolbe Rd, Lorain, OH 44053-1611 | 2019-10-24 |
| 1639729809 | Allison Marie Olenik | Occupational Therapist | 3700 Kolbe Rd, Lorain, OH 44053-1611 | 2019-09-18 |
| 1528615929 | Merna Akram Wilson | Nurse Practitioner | 3700 Kolbe Rd, Lorain, OH 44053-1611 | 2019-08-20 |
| 1225684707 | Emma Grace Haas | Occupational Therapist | 3700 Kolbe Rd, Lorain, OH 44053-1611 | 2019-08-12 |
| 1669032280 | Theodore Michael Turner IIi | Nurse Practitioner | 3700 Kolbe Rd, Lorain, OH 44053-1611 | 2019-06-17 |
| 1619535150 | Angela Anne Shay | Nurse Practitioner | 3700 Kolbe Rd, Lorain, OH 44053-1611 | 2019-05-30 |
| 1104390830 | Allison E Vargo | Nurse Anesthetist, Certified Registered | 3700 Kolbe Rd, Lorain, OH 44053-1611 | 2019-01-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386242196 | Yokita Maria Thomas | Homemaker | 4818 Ashland Ave, Lordin, OH 44053 | 2020-10-14 |
| 1497353445 | Matthew George Simkovich | Homemaker | 4366 Jenee Dr, Lorain, OH 44053 | 2020-10-13 |
| 1881229979 | Christine Wilson | Physical Therapist | 5940 Oak Point Rd., Lorain, Lorain, OH 44053 | 2020-03-09 |
| 1912538760 | Barry Delaney Masin | Student in an Organized Health Care Education/Training Program | 2704 West Erie Avenue, Lorain, OH 44053 | 2020-01-30 |
| 1275171399 | Martina Beato | Social Worker | The Nord Center 6140 S. Broadway, Lorain, OH 44053 | 2019-12-19 |
| 1285279802 | Tivan LLC | Non-emergency Medical Transport (VAN) | 5821 Williamsburg Dr., Lorain, OH 44053 | 2019-11-07 |
| 1023650843 | Candace Taber | Case Manager/Care Coordinator | 6140 South Broadway, Lorain, OH 44053 | 2019-10-14 |
| 1265956098 | Phillip H Emerson | Social Worker | 1740 Cooper Foster Park Road East, Lorain, OH 44053 | 2017-08-02 |
| 1447796750 | Kafilat Idowu Kelani | Nurse Practitioner | 3700 Kolbe Rd, Lorain, Lorain, OH 44053 | 2017-01-10 |
| 1083075808 | Mark B Applegate | Counselor | 2115 West Park Drive, Lorain, OH 44053 | 2016-03-08 |
| Find all providers in zip 44053 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265956098 | Phillip H Emerson | Social Worker | 1740 Cooper Foster Park Road East, Lorain, OH 44053 | 2017-08-02 |
| 1245674662 | Teresa Lopez | Social Worker | 1215 W 20th St, Lorain, OH 44052-3931 | 2013-04-29 |
| 1437449956 | Judith Padua | Social Worker | 4108 Mohawk Dr, Lorain, OH 44055-2651 | 2011-04-18 |
| 1659670073 | Danielle Marie Gullette | Social Worker | 1865 N Ridge Rd E Ste E, Lorain, OH 44055-3360 | 2011-03-24 |
| 1669771747 | J. Christopher Cuda | Social Worker | 1865 N Ridge Rd E Ste D, Lorain, OH 44055 | 2011-03-15 |
| 1609197144 | William Vanek | Social Worker | 1875 North Ridge Rd, Suite K, Lorain, OH 44050 | 2010-06-18 |
| 1538489091 | Emily Roll | Social Worker | 3334 Oakdale Ave, Lorain, OH 44055-1028 | 2010-06-08 |
| 1720212301 | Anna I Cacchione | Social Worker | 3769 Freedom Pl, Lorain, OH 44053-4427 | 2009-05-11 |
| 1194868547 | Michelle Archer | Social Worker | 2115 Westpark Drive, Lorain, OH 44053 | 2007-02-15 |
| 1902412307 | Janelle Kinney | Social Worker | 6140 S Broadway, Lorain, OH 44053-3821 | 2020-09-21 |
| Find all providers in LORAIN | ||||
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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.