Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Ruth Ann Supranovich, LCSW, EDD

Individual provider Clinical Social Worker · NPI 1104538156

Dr. Ruth Ann Supranovich, LCSW, EDD is a Clinical Social Worker in Los Angeles, California. Licensed in California. Registered with an NPI since 2022.

Licensed in
CA
In the registry since
2022
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.
EDD — Doctor of Education
A doctorate in education.

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Practice location Address checks out

669 W 34th St
Los Angeles, CA 90089-0411
Phone: (213) 821-6804
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 19486 (CA)

Record details

NPI number1104538156
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW , EDD
Sole proprietorNo
NPI enumeratedDecember 21, 2022
Last updated in NPPESDecember 21, 2022
Certification dateDecember 21, 2022

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