Provider Demographics
NPI:1508349861
Name:RUGGERI, TAFFY SMITH (LICSW)
Entity Type:Individual
Prefix:
First Name:TAFFY
Middle Name:SMITH
Last Name:RUGGERI
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 1:26 ASHFIELD RD
Mailing Address - Street 2:
Mailing Address - City:SHELBURNE FALLS
Mailing Address - State:MA
Mailing Address - Zip Code:01370-9416
Mailing Address - Country:US
Mailing Address - Phone:413-824-7356
Mailing Address - Fax:
Practice Address - Street 1:26 ASHFIELD RD
Practice Address - Street 2:
Practice Address - City:SHELBURNE FALLS
Practice Address - State:MA
Practice Address - Zip Code:01370-9416
Practice Address - Country:US
Practice Address - Phone:413-625-9811
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-12
Last Update Date:2018-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1145191041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical