| Richelle Ruder, LICSW | |
|
220 Oakridge Ave, Fayetteville, NC 28305-4878 | |
| (360) 580-6987 | |
| Not Available |
| Full Name | Richelle Ruder |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 15 Years |
| Location | 220 Oakridge Ave, Fayetteville, North Carolina |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215572078 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LW60845785 (Washington) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mindful Therapy Group Pc | 4981872561 | 440 |
| Entity Name | Mindful Therapy Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316238678 PECOS PAC ID: 4981872561 Enrollment ID: O20110726000730 |
| Mailing Address | Practice Location Address |
|---|---|
| Richelle Ruder, LICSW 220 Oakridge Ave, Fayetteville, NC 28305-4878 Ph: (360) 580-6987 | Richelle Ruder, LICSW 220 Oakridge Ave, Fayetteville, NC 28305-4878 Ph: (360) 580-6987 |
Mrs. Maria Rivera, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3421 Murchison Rd, Fayetteville, NC 28311 Phone: 910-630-6300 | |
Bryan Holliday, LCSWA, CSAC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4602 Sterling St, Fayetteville, NC 28306 Phone: 910-551-8552 | |
Mrs. Tracey B Natale, MSW, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6885 Cliffdale Rd Ste 202, Fayetteville, NC 28314 Phone: 910-339-0400 Fax: 910-339-0396 | |
Laura Jackson, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6885 Cliffdale Rd Ste 202, Fayetteville, NC 28314 Phone: 910-339-0400 Fax: 910-339-0396 | |
Mr. Mark Thomas Potaracke, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 209 Timberlake Dr, Fayetteville, NC 28314 Phone: 608-451-5622 | |
Ms. Mitchell Thompson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2300 Ramsey St, Fayetteville, NC 28301 Phone: 910-488-2120 | |
Carl T Cogdell, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2300 Ramsey St, Fayetteville, NC 28301 Phone: 252-717-5043 |