Provider Demographics
NPI:1487687901
Name:RUANTO, MARGARET S (LCSW)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:S
Last Name:RUANTO
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:PO BOX 90010
Mailing Address - Street 2:BOWLING GREEN
Mailing Address - City:BOWLING GREEN
Mailing Address - State:KY
Mailing Address - Zip Code:42102-9010
Mailing Address - Country:US
Mailing Address - Phone:270-796-2550
Mailing Address - Fax:270-796-6569
Practice Address - Street 1:250 PARK ST
Practice Address - Street 2:BOWLING GREEN
Practice Address - City:BOWLING GREEN
Practice Address - State:KY
Practice Address - Zip Code:42101-1760
Practice Address - Country:US
Practice Address - Phone:270-796-2550
Practice Address - Fax:270-796-6569
Is Sole Proprietor?:No
Enumeration Date:2006-07-08
Last Update Date:2017-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYKY-8331041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY0988401Medicare ID - Type Unspecified