Provider Demographics
NPI:1508427147
Name:DELIA, RUTH F (LMSW)
Entity Type:Individual
Prefix:
First Name:RUTH
Middle Name:F
Last Name:DELIA
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:RUTH
Other - Middle Name:F
Other - Last Name:DELIA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RUTH DELIA FRANCOIS
Mailing Address - Street 1:11835 QUEENS BLVD
Mailing Address - Street 2:
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-7200
Mailing Address - Country:US
Mailing Address - Phone:347-437-1115
Mailing Address - Fax:
Practice Address - Street 1:11835 QUEENS BLVD
Practice Address - Street 2:
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-7200
Practice Address - Country:US
Practice Address - Phone:347-437-1115
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-25
Last Update Date:2019-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY089515-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical