KELLYANNE RUGENSTEIN PHD, LCSWR
NPI 1447363015
Social Worker - Clinical in Rensselaer, NY

Q: What is Kellyanne Rugenstein's NPI number?

The NPI number for Kellyanne Rugenstein is 1447363015. It was assigned to this individual provider in the NPPES registry on August 16, 2006.

Q: What is Kellyanne Rugenstein's specialty?

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

Active since August 16, 2006PECOS EnrolledAccepts Medicare Assignment

620 WASHINGTON AVE, RENSSELAER, NY 12144(518) 210-2486 Get Directions Write a Review

NPPES record last updated: December 1, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Kellyanne Rugenstein Phd, Lcswr NPPES

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

KELLYANNE RUGENSTEIN PHD, LCSWR (NPI 1447363015) is an individual clinical provider in Rensselaer, New York, licensed in New York (071634-1) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1447363015

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameKELLYANNE RUGENSTEINCredential: PHD, LCSWR

Location Address620 WASHINGTON AVERensselaer, NY 12144-1300

Mailing Address620 Washington AveRensselaer, NY 12144-1300 · (518) 210-2486

Phone(518) 210-2486

Sole ProprietorNo

Medical School CMSOtherGraduated 2002

Enumeration DateAugust 16, 2006

Last NPPES UpdateDecember 1, 2016

✔ NPI 1447363015 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 · 071634-1

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.

620 WASHINGTON AVE, Rensselaer, NY 12144

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Other Identifiers 1

Medicare ID-Type UnspecifiedRA2874NY

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

Kellyanne Rugenstein Phd, Lcswr 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 ID3476528258

PECOS Enrollment IDI20040826000960

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 Kellyanne Rugenstein reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Eastern Door Licensed Clinical Social Work, PC

Same address

Clinical

620 WASHINGTON AVE
Rensselaer, NY 12144

Reassigned Medicare billing, New York enrollment
2 clinicians in this Medicare group

NPI 1528500337 (518) 252-7073

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 12144 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 $54.87 – $166.88

Typical copayment $0.00 (range $13.71 – $41.72)

Most-billed visit code NA

Established Patient

$68.57 typical visit price

range $17.54 – $136.14

Typical copayment $17.14 (range $4.38 – $34.03)

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.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TARYN HEATH

Social Worker