Provider Demographics
NPI:1326264946
Name:WARWICK, RUTH M (LCSW)
Entity Type:Individual
Prefix:MS
First Name:RUTH
Middle Name:M
Last Name:WARWICK
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41D EDGEWATER PARK
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10465-3509
Mailing Address - Country:US
Mailing Address - Phone:347-739-7421
Mailing Address - Fax:
Practice Address - Street 1:138 S COLUMBUS AVE FL 1
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:NY
Practice Address - Zip Code:10553-1337
Practice Address - Country:US
Practice Address - Phone:914-509-2325
Practice Address - Fax:978-701-6001
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2021-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY03750645104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA400074510Medicare PIN
NYA300036882Medicare PIN