Individual provider · Type 1 NPI

Jonathan Roger Ruckman, LCSW

Clinical Social Worker · Louisville, KY

NPI number 1710658141 Active

Practice location

1015 Dorsey Ln
Louisville, KY 40223-2612

Call (502) 263-3515 Map

Mailing address

2322 Thornhill Rd
Louisville, KY 40222-6261

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X253375 (KY)

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 1710658141

Jonathan Roger Ruckman, LCSW's National Provider Identifier is 1710658141, issued on Sep 24, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Louisville, KY. The record was last updated on Sep 24, 2021.