Provider Demographics
NPI:1609849801
Name:HIGGINS, RUTH A (LCSW)
Entity Type:Individual
Prefix:
First Name:RUTH
Middle Name:A
Last Name:HIGGINS
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 1:2185 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80205-2534
Mailing Address - Country:US
Mailing Address - Phone:303-296-2244
Mailing Address - Fax:303-296-2244
Practice Address - Street 1:6270 W 38TH AVE
Practice Address - Street 2:CHRISTOPHER HOUSE
Practice Address - City:WHEAT RIDGE
Practice Address - State:CO
Practice Address - Zip Code:80033-5056
Practice Address - Country:US
Practice Address - Phone:303-421-2272
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO9894191041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO804227Medicare ID - Type Unspecified