KATHLEEN JO RUTH (LSCSW) – Clinical Social Worker, NPI 1154333664

KATHLEEN JO RUTH (LSCSW) is a healthcare provider. based in Wichita, Kansas. specializing in Clinical Social Worker. They hold the professional credentials LSCSW. They hold a License No. LSCSW 1865 (KS). The NPI Number for KATHLEEN JO RUTH (LSCSW) is 1154333664

Main info

Female
Sole Proprietor
31 Years Of Experience
Accepts Medicare Assignment
Name
KATHLEEN JO RUTH (LSCSW)
NPI
1154333664
Phone
(316) 636-2888
Address
901 S HOLYOKE ST
Enumeration Date
13 August 2006
Last Update Date
8 February 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3162954800
Graduation Year
1995 (31 years ago)
PAC ID
8426189770
Group Practice PAC ID
3173837861
Professional Enrollment ID
I20100630000219
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for KATHLEEN JO RUTH (LSCSW)

  • 901, South Holyoke Street, Wichita, Sedgwick County, Kansas, 67218, United States

    BUILDING G SUITE 100

    WICHITA, KS 672182928

    Phone: (316) 636-2888

    Fax: (316) 636-2366

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-06-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100630000219IClinical Social WorkerKSTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 67218)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3173837861View full group profile
NameSpecialtyState
Clinical Social WorkerKS
Clinical Social WorkerKS

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Frequently asked questions

Can I verify KATHLEEN JO RUTH (LSCSW) with an NPI only?
You can start verification with NPI 1154333664 for KATHLEEN JO RUTH (LSCSW), then check state licensing separately.
Is KATHLEEN JO RUTH (LSCSW) listed as active for patients and plans?
The listing shows KATHLEEN JO RUTH (LSCSW) as active in the NPI system.
What is KATHLEEN JO RUTH (LSCSW)'s primary classification?
Clinical Social Worker is the headline specialty for KATHLEEN JO RUTH (LSCSW) here. Clinical services aligned with this taxonomy classification.
Where should I expect KATHLEEN JO RUTH (LSCSW) on a map?
Expect Wichita, Kansas as a primary anchor for KATHLEEN JO RUTH (LSCSW) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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