JULIA TERESE RUCKMAN (MSW, LCSW) – Clinical Social Worker, NPI 1356599971
Clinical Social Worker
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for JULIA TERESE RUCKMAN (MSW, LCSW)
545, Buena Vista Street, Edwardsville, Madison County, Illinois, 62025, United States
EDWARDSVILLE, IL 620252070
Phone: (618) 499-6871
Type: Mailing
3900 Forestville Rd
Forestville, MD 207474715
Phone: (618) 499-6871
Type: Location
205 OAKLAND AVE
CARLINVILLE, IL 626261921
Phone: (217) 854-3223
Type: Mailing
109, Maple Street, Gillespie County, Texas, 78624, United States
GILLESPIE, IL 62033
Phone: (217) 839-1526
Type: Location
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: 2018-01-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20081209000829 | I | Clinical Social Worker | IL | TBD |
| I20180109002667 | I | Clinical Social Worker | MD | TBD |
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.
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 62025)
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