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MS. SAFIYA LORRIANA RUDDOCK LCSW
NPI 1811361702
Social Worker - Clinical in Newington, CT

Active since November 16, 2015PECOS Enrolled
100 MARKET SQ, NEWINGTON, CT 06111(860) 554-4194 Get Directions Write a Review

NPPES record last updated: July 4, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 4, 2023, Jan 27, 2022, Apr 22, 2020 and 1 more (4 updates tracked since 2015).

About Ms. Safiya Lorriana Ruddock Lcsw NPPES

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

MS. SAFIYA LORRIANA RUDDOCK LCSW (NPI 1811361702) is an individual clinical provider in Newington, Connecticut and active in the NPI registry since November 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811361702
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. SAFIYA LORRIANA RUDDOCKCredential: LCSW
Location Address100 MARKET SQNewington, CT 06111-2921
Mailing AddressPo Box 2275Middletown, CT 06457-0032 · (860) 878-0232
Phone(860) 554-4194
Sole ProprietorNo
Enumeration DateNovember 16, 2015
Last NPPES UpdateJuly 4, 20234 updates tracked since enumeration
NPPES CertifiedJuly 4, 2023
✔ NPI 1811361702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
Also ListedSocial WorkerTaxonomy 104100000X · License 009734 (CT)
100 MARKET SQ, Newington, CT 06111
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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)

Ms. Safiya Lorriana Ruddock Lcsw 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 06111 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 $60.82 – $183.10
Typical copayment $0.00 (range $15.20 – $45.77)
Most-billed visit code NA
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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 7

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

AZALEA COUNSELING & WELLNESS, LLC
Community/Behavioral Health
100 MARKET SQ, SUITE 16A
NEWINGTON, CT 06111
Capitol Planning Region (860) 888-2516
MR. EVAN JAMES PIASECKI LMT
Massage Therapist
100 MARKET SQ, SUITE 1
NEWINGTON, CT 06111
Capitol Planning Region (860) 770-0954
MRS. JENNIFER ELIZABETH BRADY LCSW
Social Worker
100 MARKET SQ, SUITE 16A
NEWINGTON, CT 06111
Capitol Planning Region (860) 888-2516
MARIE T. CLAVECILLA-CHAN M.A.
Counselor (Professional)
100 MARKET SQ, SUITE # 10
NEWINGTON, CT 06111
Capitol Planning Region (860) 665-1025
DIGITRACE CARE SERVICES, INC.
Clinic/Center (Sleep Disorder Diagnostic)
100 MARKET SQ, SUITE 12
NEWINGTON, CT 06111
Capitol Planning Region (860) 665-7850
SLEEPMED THERAPIES INC
Durable Medical Equipment & Medical Supplies
100 MARKET SQ, SUITE 12
NEWINGTON, CT 06111
Capitol Planning Region (978) 536-7400
RONALD M BACKER LPC
Psychologist (School)
100 MARKET SQ, SUITE #6
NEWINGTON, CT 06111
Capitol Planning Region (860) 667-1153

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 Safiya Ruddock's NPI number?

The NPI number for Safiya Ruddock is 1811361702. It was assigned to this individual provider in the NPPES registry on November 16, 2015.

Where is Safiya Ruddock located?

Safiya Ruddock practices at 100 Market Sq, Newington, CT 06111. The listed phone number is (860) 554-4194.

What is Safiya Ruddock's specialty?

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

Is Safiya Ruddock enrolled in Medicare?

Yes. Safiya Ruddock is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Safiya Ruddock was last updated on July 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.