Provider Demographics
NPI:1275703365
Name:COMMERCIO, RUTH ANNE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:RUTH
Middle Name:ANNE
Last Name:COMMERCIO
Suffix:
Gender:F
Credentials:LCSW
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Mailing Address - Street 1:275 E MAIN ST
Mailing Address - Street 2:REAR BUILDING
Mailing Address - City:MOUNT KISCO
Mailing Address - State:NY
Mailing Address - Zip Code:10549-3030
Mailing Address - Country:US
Mailing Address - Phone:914-588-2592
Mailing Address - Fax:914-241-3866
Practice Address - Street 1:190 GOLDENS BRIDGE ROAD
Practice Address - Street 2:BEDFORD PROFESSIONAL PARK
Practice Address - City:KATONAH
Practice Address - State:NY
Practice Address - Zip Code:10536-2810
Practice Address - Country:US
Practice Address - Phone:914-588-2592
Practice Address - Fax:914-241-3866
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-05
Last Update Date:2008-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY073501-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical