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

Jonathan Roger Ruckman, LCSW

Individual provider Clinical Social Worker · NPI 1710658141

Jonathan Roger Ruckman, LCSW is a Clinical Social Worker in Louisville, Kentucky. Licensed in Kentucky. Registered with an NPI since 2021.

Licensed in
KY
In the registry since
2021
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

1015 Dorsey Ln
Louisville, KY 40223-2612
Phone: (502) 263-3515
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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 253375 (KY)

Record details

NPI number1710658141
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedSeptember 24, 2021
Last updated in NPPESSeptember 24, 2021
Certification dateSeptember 24, 2021

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