1386632131 NPI number — MS. RUTH SCHWARTZ LICSW

Table of content: MS. RUTH SCHWARTZ LICSW (NPI 1386632131)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1386632131 NPI number — MS. RUTH SCHWARTZ LICSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SCHWARTZ
Provider First Name:
RUTH
Provider Middle Name:
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
LICSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1386632131
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/19/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 1163
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
STRATHAM
Provider Business Mailing Address State Name:
NH
Provider Business Mailing Address Postal Code:
03885-1163
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
603-580-9445
Provider Business Mailing Address Fax Number:
844-252-2008

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
31 DEVONSHIRE RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TEWKSBURY
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01876-3541
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
978-851-4025
Provider Business Practice Location Address Fax Number:
978-851-3494
Provider Enumeration Date:
10/06/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 104100000X , with the licence number:  1017148 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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