Provider Demographics
NPI:1437448263
Name:RUGGIERO, PATRICIA A (LMSW)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:A
Last Name:RUGGIERO
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13030 180TH ST
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11434-4108
Mailing Address - Country:US
Mailing Address - Phone:718-527-2200
Mailing Address - Fax:718-527-3707
Practice Address - Street 1:13030 180TH ST
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11434-4108
Practice Address - Country:US
Practice Address - Phone:718-527-2200
Practice Address - Fax:718-527-3707
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-01
Last Update Date:2024-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY050426104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker