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GIANNA L RUDDOCK LCSW
NPI 1063847291
Social Worker - Clinical in Brooklyn, NY

Active since September 06, 2013PECOS EnrolledAccepts Medicare Assignment
1293 E 46TH ST, 2ND FLOOR, BROOKLYN, NY 11234(718) 288-8746 Get Directions Write a Review

NPPES record last updated: September 6, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Gianna L Ruddock Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GIANNA L RUDDOCK LCSW (NPI 1063847291) is an individual clinical provider in Brooklyn, New York, licensed in New York (079119-1) and active in the NPI registry since September 2013. She is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1063847291
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameGIANNA L RUDDOCKCredential: LCSW
Location Address1293 E 46TH ST, 2ND FLOORBrooklyn, NY 11234-2001
Mailing Address1293 E 46th St, 2nd FloorBrooklyn, NY 11234-2001 · (718) 288-8746
Phone(718) 288-8746
Sole ProprietorYes
Medical School CMSOtherGraduated 1997
Enumeration DateSeptember 6, 2013
✔ NPI 1063847291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NY · 079119-1
Definition
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.
1293 E 46TH ST, Brooklyn, NY 11234
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Gianna L Ruddock Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1153722509
PECOS Enrollment IDI20210623002501
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Gianna Ruddock reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Queens Psychotherapy Lcsw Services P.C.
7.9 mi
Clinical
9520 63RD RD, SUITE J
Rego Park, NY 11374
  • Reassigned Medicare billing, New York enrollment
  • 32 clinicians in this Medicare group
NPI 1366806705 (718) 459-1225

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11234 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $67.40 – $203.53
Typical copayment $0.00 (range $16.85 – $50.88)
Most-billed visit code NA
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gianna Ruddock's NPI number?

The NPI number for Gianna Ruddock is 1063847291. It was assigned to this individual provider in the NPPES registry on September 6, 2013.

Where is Gianna Ruddock located?

Gianna Ruddock practices at 1293 E 46th St 2nd Floor, Brooklyn, NY 11234. The listed phone number is (718) 288-8746.

What is Gianna Ruddock's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Gianna Ruddock enrolled in Medicare?

Yes. Gianna Ruddock is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Gianna Ruddock's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gianna Ruddock reassigns Medicare benefits to Queens Psychotherapy Lcsw Services P.C. (Rego Park, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gianna Ruddock's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Gianna Ruddock was last updated on September 6, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.