IndividualActive
Amy Ruckman, PEL
NPI 1366059818 · School Social Worker · Altamont, IL
Provider details
- NPI number
- 1366059818
- Entity type
- Individual
- Primary specialty
- School Social WorkerBehavioral Health & Social Service Providers
- Credential
- PEL
- Sex
- Female
- Sole proprietor
- No
- License
- 448350 (IL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
407 S Edwards St
Altamont, IL 62411-1799
Phone: (618) 483-5171
Fax: (618) 483-6793
Approximate (ZIP-level) locationGet directions
Mailing address
407 S Edwards St
Altamont, IL 62411-1799
Registry dates
- Enumerated
- 2020-09-29
- Last updated
- 2023-06-28
- Certified
- 2023-06-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.