Provider Demographics
NPI:1558804179
Name:HOFFENKAMP-GUNNINK, RUTH MARIE (LCSW, MSW, QMHP)
Entity Type:Individual
Prefix:
First Name:RUTH
Middle Name:MARIE
Last Name:HOFFENKAMP-GUNNINK
Suffix:
Gender:F
Credentials:LCSW, MSW, QMHP
Other - Prefix:
Other - First Name:RUTH
Other - Middle Name:MARIE
Other - Last Name:HOFFENKAMP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BSW
Mailing Address - Street 1:PO BOX 5074
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57117-5074
Mailing Address - Country:US
Mailing Address - Phone:605-328-9419
Mailing Address - Fax:
Practice Address - Street 1:600 N SYCAMORE AVE
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57110-5745
Practice Address - Country:US
Practice Address - Phone:605-328-2999
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-11-30
Last Update Date:2023-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD35811041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical