MS. ELLEN RUTH KRUGER (L.I.C.S.W.) – Mental Health Counselor, NPI 1053467563

MS. ELLEN RUTH KRUGER (L.I.C.S.W.) is a healthcare provider. based in Medford, Massachusetts. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials L.I.C.S.W.. They hold a License No. 105528 (MA). The NPI Number for MS. ELLEN RUTH KRUGER (L.I.C.S.W.) is 1053467563

Main info

Female
Sole Proprietor
44 Years Of Experience
Accepts Medicare Assignment
Name
MS. ELLEN RUTH KRUGER (L.I.C.S.W.)
NPI
1053467563
Phone
(781) 393-0009
Address
84 HIGH ST
Enumeration Date
26 January 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7819320559
Graduation Year
1982 (44 years ago)
PAC ID
7416964101
Professional Enrollment ID
I20060322000013
Address ID
MA018802930WA1XXXXSTXX401
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

4,194 CLINICAL SOCIAL WORKER in MA

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Provider Addresses for MS. ELLEN RUTH KRUGER (L.I.C.S.W.)

  • 84, High Street, Medford, Middlesex County, Massachusetts, 02155, United States

    MEDFORD, MA 021553844

    Phone: (781) 393-0009

    Fax: (781) 395-2909

    Type: Location

  • 49 HAMMOND PL

    WOBURN, MA 018013415

    Phone: (781) 932-0559

    Fax: (781) 395-2909

    Type: Mailing

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: 2006-03-22

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
I20060322000013IClinical Social WorkerMATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour16713$0
View full utilization report →

Insurance plans in this area (ZIP 02155)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for MS. ELLEN RUTH KRUGER (L.I.C.S.W.)?
MS. ELLEN RUTH KRUGER (L.I.C.S.W.) — NPI 1053467563 — is the standard way to identify this listing.
Does CMS list MS. ELLEN RUTH KRUGER (L.I.C.S.W.) as active?
Yes — MS. ELLEN RUTH KRUGER (L.I.C.S.W.) is active in the NPI listing used on this page.
What is MS. ELLEN RUTH KRUGER (L.I.C.S.W.) best known for clinically?
Directory data describes MS. ELLEN RUTH KRUGER (L.I.C.S.W.) with Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Does MS. ELLEN RUTH KRUGER (L.I.C.S.W.) list a practice location?
Patients near Medford, Massachusetts may find MS. ELLEN RUTH KRUGER (L.I.C.S.W.) in results; validate coverage separately.
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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