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

Individual provider Clinical Social Worker · NPI 1447363015

Kellyanne Rugenstein, PHD, LCSWR is a Clinical Social Worker in Rensselaer, New York. Qualified in 2002, 24 years ago. Accepts Medicare assignment. Licensed in New York.

Years since qualifying
24
Licensed in
NY
In the registry since
2006
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

620 Washington Ave
Rensselaer, NY 12144-1300
Phone: (518) 210-2486
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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 071634-1 (NY)

Record details

NPI number1447363015
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD , LCSWR
Sole proprietorNo
NPI enumeratedAugust 16, 2006
Last updated in NPPESDecember 1, 2016

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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