Provider Demographics
NPI:1003944141
Name:WHITNEY, RUTH A (LICSW)
Entity Type:Individual
Prefix:MRS
First Name:RUTH
Middle Name:A
Last Name:WHITNEY
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 CENTRAL STREET
Mailing Address - Street 2:207
Mailing Address - City:ARLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02476-4816
Mailing Address - Country:US
Mailing Address - Phone:781-641-3664
Mailing Address - Fax:617-876-0421
Practice Address - Street 1:7 CENTRAL STREET
Practice Address - Street 2:207
Practice Address - City:ARLINGTON
Practice Address - State:MA
Practice Address - Zip Code:02476-4816
Practice Address - Country:US
Practice Address - Phone:781-641-3664
Practice Address - Fax:617-876-2406
Is Sole Proprietor?:No
Enumeration Date:2007-03-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA102187104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker