Kirstie Ruckoldt, LCSW

NPI #1508728478 in Elburn, Illinois

Provider Information

NPI Number: 1508728478
Entity Type: Individual
Name: Kirstie Ruckoldt, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Dec 1, 2025
Last Updated: Dec 1, 2025

Practice Location

Address: 21 S MAIN ST UNIT A
City: Elburn
State: Illinois
ZIP Code: 60119-9194
Phone: (217) 471-4229

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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