MEDICARE: MRS. RUTH ANN KRUEGER LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	C002298	NC

General Provider Information

NPI Number	:	1568674323
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. RUTH ANN KRUEGER LCSW

Provider Business Mailing Address
First Line	:	7115 WINDALIERE DRIVE
Second Line	:
City	:	CORNELIUS
State	:	NC
Zip	:	28031
Country	:	US
Telephone Number	:	704-896-8668
Fax Number	:	704-896-9630

Provider Business Practice Location Address
First Line	:	7115 WINDALIERE DRIVE
Second Line	:
City	:	CORNELIUS
State	:	NC
Zip	:	28031
Country	:	US
Telephone Number	:	704-896-8668
Fax Number	:	704-896-9630

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/04/2007
Last Update Date	:	02/22/2026

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