RUBY WADE LCSW LLC
NPI 1669343547
Clinic/Center - Mental Health (Including Community Mental Health Center) in Ontario, CA
About Ruby Wade Lcsw Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RUBY WADE LCSW LLC (NPI 1669343547) is a healthcare organization registered as a mental health (including community mental health center) in Ontario, California and active in the NPI registry since September 2025. The organization lists Ruby Wade, Lcsw, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ruby Wade Lcsw Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Ruby Wade Lcsw LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Ruby Wade Lcsw LLC's NPI number?
The NPI number for Ruby Wade Lcsw LLC is 1669343547. It was assigned to this organization in the NPPES registry on September 15, 2025.
Where is Ruby Wade Lcsw LLC located?
Ruby Wade Lcsw LLC is located at 3333 Concours Ste 8102, Ontario, CA 91764. The listed phone number is (909) 295-5805.
What is Ruby Wade Lcsw LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.
Is Ruby Wade Lcsw LLC enrolled in Medicare?
Yes. Ruby Wade Lcsw LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Ruby Wade Lcsw LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Ruby Wade Lcsw LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Ruby Wade Lcsw LLC was last updated on October 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 days 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.
# Ruby Wade Lcsw Llc · NPI 1669343547
Mental Health (Including Community Mental Health Center) organization in Ontario, California. Organization record, active in the CMS NPPES registry since September 15, 2025.
## Identity
- **NPI:** 1669343547 (Entity type: Organization)
- **Enumerated:** September 15, 2025
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Organization subpart:** No
- **Authorized official:** Ruby Wade, LCSW
## Practice location
- **Address:** 3333 CONCOURS STE 8102, Ontario, CA 91764-5522
- **Phone:** (909) 295-5805
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Social Worker) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 23, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1669343547) · Data from the CMS NPPES public registry.