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KIRSTIE RUCKOLDT LCSW
NPI 1508728478
Social Worker - Clinical in Elburn, IL

Active since December 01, 2025PECOS Enrolled
21 S MAIN ST UNIT A, ELBURN, IL 60119(217) 471-4229 Get Directions Write a Review

NPPES record last updated: December 1, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kirstie Ruckoldt Lcsw NPPES

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

KIRSTIE RUCKOLDT LCSW (NPI 1508728478) is an individual clinical provider in Elburn, Illinois, licensed in Illinois (149.026470) and active in the NPI registry since December 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1508728478
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKIRSTIE RUCKOLDTCredential: LCSW
Location Address21 S MAIN ST UNIT AElburn, IL 60119-9194
Mailing Address21 S Main St Unit AElburn, IL 60119-9194
Phone(217) 471-4229
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateDecember 1, 2025
NPPES CertifiedDecember 1, 2025
✔ NPI 1508728478 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 IL · 149.026470
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.
21 S MAIN ST UNIT A, Elburn, IL 60119
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kirstie Ruckoldt Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID42799868
PECOS Enrollment IDI20260211001462
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60119 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 $59.81 – $181.38
Typical copayment $0.00 (range $14.95 – $45.34)
Most-billed visit code NA
Established Patient
$74.38 typical visit price
range $19.15 – $147.12
Typical copayment $18.59 (range $4.78 – $36.78)
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 5

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

AIRIANNA QUINTANILLA MS, LSW, CADC
Social Worker
21 S MAIN ST UNIT A
ELBURN, IL 60119
Kane County (217) 471-4229
MODUS OPERANDI LLC
Counselor (Mental Health)
21 S MAIN ST UNIT A
ELBURN, IL 60119
Kane County (815) 761-4923
CAROLYN WASS
Social Worker
21 S MAIN ST UNIT A
ELBURN, IL 60119
Kane County (217) 471-4229
COLLEEN CLARK MSW, LSW
Social Worker
21 S MAIN ST UNIT A
ELBURN, IL 60119
Kane County (630) 310-2841
DANIELLE NOWAK LPC
Counselor (Professional)
21 S MAIN ST UNIT A
ELBURN, IL 60119
Kane County (217) 471-4229

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 Kirstie Ruckoldt's NPI number?

The NPI number for Kirstie Ruckoldt is 1508728478. It was assigned to this individual provider in the NPPES registry on December 1, 2025.

Where is Kirstie Ruckoldt located?

Kirstie Ruckoldt practices at 21 S Main St Unit A, Elburn, IL 60119. The listed phone number is (217) 471-4229.

What is Kirstie Ruckoldt's specialty?

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

Is Kirstie Ruckoldt enrolled in Medicare?

Yes. Kirstie Ruckoldt is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kirstie Ruckoldt was last updated on December 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.