Diana G Ruchelman, MSW, LCSW
Social Worker, Clinical in Virginia Beach, VA. Individual provider (NPI-1).
NPI number1962437467
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1962437467
- Entity type
- Individual (NPI-1)
- Name
- Ms. Diana G Ruchelman
- Credential
- MSW, LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 12, 2006
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 0904001533 | VA | Yes |
Practice location
260 Grayson Rd.Jewish Family Service Of Tidewater, INC.
Virginia Beach, VA 23462-4345
Phone 757-459-4640 · Fax 757-459-4643
Mailing address
260 Grayson Rd.Jewish Family Service Of Tidewater, INC.
Virginia Beach, VA 23462-4345
Phone 757-459-4640 · Fax 757-459-4643
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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