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

Mrs. Theresa Ruge, LCSW

Individual provider Clinical Social Worker · NPI 1881351930

Mrs. Theresa Ruge, LCSW is a Clinical Social Worker in Grand Island, New York. Graduated from State University of New York at Buffalo School of Medicine in 2016, 10 years ago. Practices with Wise Mind Psychological Services PLLC, a 6-clinician group. Licensed in New York.

Years since qualifying
10
Trained at
State University of New York at Buffalo School of Medicine
Licensed in
NY
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

1879 Whitehaven Rd Ste 212
Grand Island, NY 14072-1885
Phone: (716) 775-2115
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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 096272 (NY)

Record details

NPI number1881351930
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedNovember 23, 2021
Last updated in NPPESJuly 28, 2026
Certification dateJuly 28, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolSTATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice Wise Mind Psychological Services Pllc — 6 clinicians
Accepts Medicare assignment Not indicated

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