RUTH SANDRA THEAMAN (LCSW-R) – Clinical Social Worker, NPI 1134858806

RUTH SANDRA THEAMAN (LCSW-R) is a healthcare provider. based in Peekskill, New York. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW-R. They hold a License No. 018390 (NY). The NPI Number for RUTH SANDRA THEAMAN (LCSW-R) is 1134858806

Main info

Female
39 Years Of Experience
Accepts Medicare Assignment
Name
RUTH SANDRA THEAMAN (LCSW-R)
NPI
1134858806
Phone
(914) 736-3371
Address
50 DAYTON LN STE 205
Enumeration Date
8 June 2022
Last Update Date
4 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2037582400
Graduation Year
1987 (39 years ago)
PAC ID
9638542640
Group Practice PAC ID
8729313135
Professional Enrollment ID
I20230222000654
Address ID
CT067623234MI984XXRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

7,009 CLINICAL SOCIAL WORKER in NY

Provider Addresses for RUTH SANDRA THEAMAN (LCSW-R)

  • 50 DAYTON LN STE 205

    PEEKSKILL, NY 105662860

    Phone: (914) 736-3371

    Fax: (914) 736-3372

    Type: Mailing

  • 75 HOLLY HILL LN

    GREENWICH, CT 068306098

    Phone: (203) 457-3669

    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: 2023-02-22

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
I20230222000654IClinical Social WorkerCTTBD

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 10566)

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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: 8729313135View full group profile
NameSpecialtyState
Clinical Social WorkerCT
Clinical Social WorkerCT
Marriage And Family TherapistCT
-CT
Mental Health CounselorCT
Mental Health CounselorCT
Mental Health CounselorCT
Clinical Social WorkerCT
Clinical PsychologistCT
Mental Health CounselorCT

Reviews

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Frequently asked questions

What unique ID ties claims to RUTH SANDRA THEAMAN (LCSW-R)?
NPI 1134858806 is assigned to RUTH SANDRA THEAMAN (LCSW-R) under the national enumeration system.
Is RUTH SANDRA THEAMAN (LCSW-R) currently active in the NPI registry?
CMS-published data lists RUTH SANDRA THEAMAN (LCSW-R) as an active registrant.
What kind of provider is RUTH SANDRA THEAMAN (LCSW-R)?
The page reflects Clinical Social Worker for RUTH SANDRA THEAMAN (LCSW-R). Clinical services aligned with this taxonomy classification.
What location shows for RUTH SANDRA THEAMAN (LCSW-R)?
We surface Peekskill, New York for RUTH SANDRA THEAMAN (LCSW-R) based on available NPPES addresses.
Is RUTH SANDRA THEAMAN (LCSW-R) a real provider?
This page reflects official NPPES data for NPI 1134858806. Always confirm identity and privileges with the practice and licensing boards.

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