Provider Demographics
NPI:1235357013
Name:RIPPER, MARY RUTH (MSW, LCSW, OSW-C)
Entity Type:Individual
Prefix:MRS
First Name:MARY
Middle Name:RUTH
Last Name:RIPPER
Suffix:
Gender:F
Credentials:MSW, LCSW, OSW-C
Other - Prefix:
Other - First Name:MARY
Other - Middle Name:RUTH
Other - Last Name:SCHNEIDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:BLESSING HEALTHCARE SYSTEM
Mailing Address - Street 2:1005 BROADWAY ST
Mailing Address - City:QUINCY
Mailing Address - State:IL
Mailing Address - Zip Code:62301
Mailing Address - Country:US
Mailing Address - Phone:217-223-8400
Mailing Address - Fax:217-214-5806
Practice Address - Street 1:BLESSING HEALTHCARE SYSTEM
Practice Address - Street 2:1005 BROADWAY ST
Practice Address - City:QUINCY
Practice Address - State:IL
Practice Address - Zip Code:62301
Practice Address - Country:US
Practice Address - Phone:217-223-8400
Practice Address - Fax:217-214-5806
Is Sole Proprietor?:No
Enumeration Date:2007-04-24
Last Update Date:2022-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20090002371041C0700X
IL1490127501041C0700X
MO4924101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)