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

Individual provider Clinical Social Worker · NPI 1063847291

Gianna L Ruddock, LCSW is a Clinical Social Worker in Brooklyn, New York. Qualified in 1997, 29 years ago. Practices with Queens Psychotherapy LCSW Services PC, a 14-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
29
Licensed in
NY
In the registry since
2013
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

1293 E 46th St 2nd Fl
Brooklyn, NY 11234-2001
Phone: (718) 288-8746
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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 079119-1 (NY)

Record details

NPI number1063847291
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedSeptember 6, 2013
Last updated in NPPESSeptember 6, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Queens Psychotherapy Lcsw Services P.C. — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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