Provider Demographics
NPI:1386632131
Name:SCHWARTZ, RUTH (LICSW)
Entity Type:Individual
Prefix:MS
First Name:RUTH
Middle Name:
Last Name:SCHWARTZ
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:PO BOX 1163
Mailing Address - Street 2:
Mailing Address - City:STRATHAM
Mailing Address - State:NH
Mailing Address - Zip Code:03885-1163
Mailing Address - Country:US
Mailing Address - Phone:603-580-9445
Mailing Address - Fax:844-252-2008
Practice Address - Street 1:31 DEVONSHIRE RD
Practice Address - Street 2:
Practice Address - City:TEWKSBURY
Practice Address - State:MA
Practice Address - Zip Code:01876-3541
Practice Address - Country:US
Practice Address - Phone:978-851-4025
Practice Address - Fax:978-851-3494
Is Sole Proprietor?:No
Enumeration Date:2005-10-06
Last Update Date:2018-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1017148104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
P04999Medicare UPIN
P04999Medicare ID - Type Unspecified