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Deactivated NPI 1376024505 Deactivated / Inactive NPI Male Practitioner

Samuel Rucker

Social Worker • Schenectady, NY

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Samuel Rucker has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 26, 2018
NPI Deactivation Date November 07, 2019
Total Practice Duration ~1 Years of Practice (2018 – 2019)

Professional Overview & Biography Verified Profile Summary

Samuel Rucker was a registered Social Worker practicing in Schenectady, NY. Throughout an active medical career spanning 1 years, Samuel Rucker provided care at the practice location at 530 FRANKLIN ST until profile deactivation on 2019-11-07.

Practice Location & Contact Primary Location

Practice Address

530 Franklin St

Schenectady, NY 123052008

Telephone 5182925499
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Schenectady, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.5 Yrs
State Avg: 20.1 Yrs
Regional Practice Density
126 Specialists

Practicing in Schenectady, NY (23970 Statewide)

Telehealth Adoption Rate
1.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-01-11
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Social Worker

NUCC Taxonomy Code: 104100000X

State License NY 106213

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

27 Associated Practitioners
Shaelynn Kelly

Social Worker

NPI 1114814852
NPI 1124661657

Licensed Master Social Worker

Isabella Serafini

Social Worker

NPI 1134955321
NPI 1275130015

Licensed Master Social Worker

NPI 1306521430

Master of Social Work

NPI 1346848389

Licensed Master Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
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Medical Taxonomy / Specialty Registered (Primary Specialty) January 11, 2024

Social Worker (License #106213 in NY)

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Updated Practice Location November 04, 2020

Registered at 530 FRANKLIN ST, SCHENECTADY, NY 123052008 (Tel: 5182925499)

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Updated Business Mailing Address November 04, 2020

Registered at 188 SPRING ST APT 2, ALBANY, NY 122031317 (Tel: 3479467015)

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Provider Name / Credentials Updated November 04, 2020

Recorded as SAMUEL RUCKER

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 04, 2020

Social Worker

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NPI Profile Deactivated November 07, 2019

Record deactivated on November 07, 2019

NPI Profile Active August 26, 2018

NPI status registered as active in NPPES database

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Updated Practice Location August 26, 2018

Registered at 530 FRANKLIN ST, SCHENECTADY, NY 123052008 (Tel: 5182925499)

📍
Updated Business Mailing Address August 26, 2018

Registered at 188 SPRING ST APT 2, ALBANY, NY 122031317 (Tel: 3479467015)

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Provider Name / Credentials Updated August 26, 2018

Recorded as SAMUEL RUCKER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 26, 2018

Social Worker

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Initial NPI Registration & Enumeration August 26, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1376024505
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 26, 2018
Last Update: January 11, 2024
Deactivation Date: November 07, 2019
Sole Proprietor: No

Mailing Address

188 Spring St Apt 2

Albany, NY 122031317

Phone: 3479467015

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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