MS. MARIAM E HENDERSON-RUCKER LISW
NPI 1760015341
Social Worker - Clinical in Lorain, OH

Active since February 21, 2020PECOS Enrolled
3600 KOLBE RD, LORAIN, OH 44053(440) 222-4803(440) 960-4922 Get Directions Write a Review

NPPES record last updated: February 24, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Feb 24, 2022, Feb 21, 2020 (2 updates tracked since 2020).

About Ms. Mariam E Henderson-rucker Lisw NPPES

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

MS. MARIAM E HENDERSON-RUCKER LISW (NPI 1760015341) is an individual clinical provider in Lorain, Ohio, licensed in Ohio (I.1901902) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Lorain.

NPPES Registry Identity

NPI1760015341
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. MARIAM E HENDERSON-RUCKERCredential: LISW
Location Address3600 KOLBE RDLorain, OH 44053-1654
Mailing Address3600 Kolbe Rd Ste 11Lorain, OH 44053-1652 · (440) 222-4803 · Fax (440) 960-4922
Fax(440) 960-4922
Sole ProprietorYes
Enumeration DateFebruary 21, 2020
Last NPPES UpdateFebruary 24, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 24, 2022
NPI 1760015341 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 OH · I.1901902
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.
3600 KOLBE RD, Lorain, OH 44053

Secondary Practice Location 1

Location 13700 Kolbe RdLorain, OH 44053-1611 · Phone (440) 222-4003

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ms. Mariam E Henderson-rucker Lisw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 44053 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 $54.34 – $166.65
Typical copayment $0.00 (range $13.58 – $41.66)
Most-billed visit code NA
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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 20

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

Internal Medicine
3600 KOLBE RD, STE 227
LORAIN, OH 44053
Internal Medicine (Cardiovascular Disease)
3600 KOLBE RD, SUITE 127
LORAIN, OH 44053
Internal Medicine (Cardiovascular Disease)
3600 KOLBE RD, SUITE 127
LORAIN, OH 44053
Obstetrics & Gynecology
3600 KOLBE RD, 210
LORAIN, OH 44053
Surgery
3600 KOLBE RD
LORAIN, OH 44053
Orthopaedic Surgery
3600 KOLBE RD, STE 100
LORAIN, OH 44053
Nurse Anesthetist, Certified Registered
3600 KOLBE RD, SUITE 19
LORAIN, OH 44053
Physician Assistant
3600 KOLBE RD
LORAIN, OH 44053

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 Mariam Henderson-rucker's NPI number?

The NPI number for Mariam Henderson-rucker is 1760015341. It was assigned to this individual provider in the NPPES registry on February 21, 2020.

Where is Mariam Henderson-rucker located?

Mariam Henderson-rucker practices at 3600 Kolbe Rd, Lorain, OH 44053. The listed phone number is (440) 222-4803.

What is Mariam Henderson-rucker's specialty?

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

Is Mariam Henderson-rucker enrolled in Medicare?

Yes. Mariam Henderson-rucker is registered in the Medicare PECOS enrollment system.

What insurance does Mariam Henderson-rucker accept?

Health plans from CareSource list Mariam Henderson-rucker as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mariam Henderson-rucker was last updated on February 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.