Provider Demographics
NPI:1629163837
Name:LOBE, RUTH C (LCSWC)
Entity Type:Individual
Prefix:
First Name:RUTH
Middle Name:C
Last Name:LOBE
Suffix:
Gender:F
Credentials:LCSWC
Other - Prefix:
Other - First Name:RUTH
Other - Middle Name:C
Other - Last Name:CINCIOTTA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3355 ST JOHNS LANE
Mailing Address - Street 2:SUITE F
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21042
Mailing Address - Country:US
Mailing Address - Phone:410-465-6297
Mailing Address - Fax:410-465-8788
Practice Address - Street 1:3355 ST JOHNS LANE
Practice Address - Street 2:SUITE F
Practice Address - City:ELLICOTT CITY
Practice Address - State:MD
Practice Address - Zip Code:21042
Practice Address - Country:US
Practice Address - Phone:410-465-6297
Practice Address - Fax:410-465-8788
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD011761041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDA94600011OtherBLUE CROSS BLUE SHIELD
Q518OtherBLUE CROSS BLUE SHIELD
MDA94600011OtherBLUE CROSS BLUE SHIELD