JENNIFER ROBYN RUGG (LICSW) – Social Worker, NPI 1891835930

JENNIFER ROBYN RUGG (LICSW) is a healthcare provider. based in Everett, Washington. specializing in Social Worker. They hold the professional credentials LICSW. They hold a License No. 60469377 (WA). The NPI Number for JENNIFER ROBYN RUGG (LICSW) is 1891835930

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER ROBYN RUGG (LICSW)
NPI
1891835930
Phone
(425) 349-6804
Address
3322 BROADWAY FL 3
Enumeration Date
7 February 2007
Last Update Date
20 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4253496100
Graduation Year
2010 (16 years ago)
PAC ID
5496060774
Group Practice PAC ID
5799682357
Professional Enrollment ID
I20150814014699
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness75
Years active:19State licenses:2Digital endpointsOther names

Provider Addresses for JENNIFER ROBYN RUGG (LICSW)

  • 3322 BROADWAY FL 3

    EVERETT, WA 982014425

    Phone: (425) 349-6804

    Fax: (425) 349-6855

    Type: Location

  • 4526 FEDERAL AVE

    EVERETT, WA 982032132

    Phone: (425) 349-6200

    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: 2015-08-14

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
I20150814014699IClinical Social WorkerWATBD

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 98201)

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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: 5799682357View full group profile
NameSpecialtyState
-WA
Clinical Social WorkerWA
Mental Health CounselorWA
Nurse PractitionerWA
Mental Health CounselorWA
-TN
Mental Health CounselorWA
Mental Health CounselorWA
Clinical Social WorkerWA
Nurse PractitionerWA

Reviews

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Frequently asked questions

Can I use this page to confirm JENNIFER ROBYN RUGG (LICSW)'s NPI?
Yes. JENNIFER ROBYN RUGG (LICSW) is listed with NPI 1891835930 in the public NPI dataset.
Is JENNIFER ROBYN RUGG (LICSW) listed as active for patients and plans?
The listing shows JENNIFER ROBYN RUGG (LICSW) as active in the NPI system.
What is JENNIFER ROBYN RUGG (LICSW)'s primary classification?
Social Worker is the headline specialty for JENNIFER ROBYN RUGG (LICSW) here. Clinical services aligned with this taxonomy classification.
What address line appears for JENNIFER ROBYN RUGG (LICSW)?
JENNIFER ROBYN RUGG (LICSW)'s geographic hint is Everett, Washington in our summary view.
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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