Individual provider · Type 1 NPI

Lee Ruckman, LCSW

Clinical Social Worker · Charlottesville, VA

NPI number 1134500812 Active

Practice location

1020 Carrington Pl
Charlottesville, VA 22901

Other practice locations

  • 1020 Carrington Pl, Charlottesville, VA 22901 · (434) 373-7800

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XNone listed
Clinical Social Worker Primary 1041C0700X0904007116 (VA)

Clinical Social Worker: 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 interpers…

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About NPI 1134500812

Lee Ruckman, LCSW's National Provider Identifier is 1134500812, issued on Jun 17, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Charlottesville, VA. The record was last updated on Aug 26, 2019.