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CLIFFORD ALLEN RUYLE JR. LCSW, CGP
NPI 1912294547
Social Worker - Clinical in San Diego, CA

Active since July 04, 2011Opted out of Medicare · through Jan 1, 2028
3465 CAMINO DEL RIO S STE 320, SAN DIEGO, CA 92108(619) 213-3000(866) 302-7589 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Clifford Allen Ruyle Jr. Lcsw, Cgp NPPES

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

CLIFFORD ALLEN RUYLE JR. LCSW, CGP (NPI 1912294547) is an individual clinical provider in San Diego, California, licensed in California (LCS 26809) and active in the NPI registry since July 2011. He has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1912294547
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameCLIFFORD ALLEN RUYLE JR.Credential: LCSW, CGP
Location Address3465 CAMINO DEL RIO S STE 320San Diego, CA 92108-3909
Mailing Address3465 Camino Del Rio S Ste 320San Diego, CA 92108-3909 · (619) 213-3000 · Fax (866) 302-7589
Phone(619) 213-3000
Fax(866) 302-7589
Sole ProprietorYes
Enumeration DateJuly 4, 2011
Last NPPES UpdateMarch 17, 2018
✔ NPI 1912294547 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 CA · LCS 26809
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.
3465 CAMINO DEL RIO S STE 320, San Diego, CA 92108
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Other Names 1

Professional Name (2)C. Allen Ruyle

Other Identifiers 1

Medicaid1912294547CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Clifford Allen Ruyle Jr. Lcsw, Cgp has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Clifford Ruyle's NPI number?

The NPI number for Clifford Ruyle is 1912294547. It was assigned to this individual provider in the NPPES registry on July 4, 2011. The provider is also known as C. Allen Ruyle.

Where is Clifford Ruyle located?

Clifford Ruyle practices at 3465 Camino Del Rio S Ste 320, San Diego, CA 92108. The listed phone number is (619) 213-3000.

What is Clifford Ruyle's specialty?

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

Is Clifford Ruyle enrolled in Medicare?

No. Clifford Ruyle has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Clifford Ruyle was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.