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

Jennifer Marie Ruckoldt

Individual provider Social Worker · NPI 1659853307

Jennifer Marie Ruckoldt is a Social Worker in Lake Elsinore, California. Licensed in California. Registered with an NPI since 2018.

Licensed in
CA
In the registry since
2018

Practice location Address checks out

265 San Jacinto River Rd Ste 107
Lake Elsinore, CA 92530-4400
Phone: (951) 674-9243
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence ASW135931 (CA)

Record details

NPI number1659853307
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 29, 2018
Last updated in NPPESApril 2, 2026
Certification dateApril 2, 2026

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