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

Samantha Ruiz, LCSW

Individual provider Social Worker · NPI 1104400340

Samantha Ruiz, LCSW is a Social Worker in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2021.

Licensed in
PA
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

112 E Allen St # 3
Philadelphia, PA 19125-4140
Phone: (215) 554-1191
Fax: (484) 930-0829
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence SW136579 (PA)

Record details

NPI number1104400340
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMay 12, 2021
Last updated in NPPESSeptember 7, 2022
Certification dateSeptember 7, 2022

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