Provider Demographics
NPI:1851605380
Name:RUOFF, JENNIFER KAHN (LMSW, MS ED)
Entity Type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:KAHN
Last Name:RUOFF
Suffix:
Gender:F
Credentials:LMSW, MS ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:89 HIGHLAND LN
Mailing Address - Street 2:
Mailing Address - City:IRVINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:10533-1845
Mailing Address - Country:US
Mailing Address - Phone:914-478-3730
Mailing Address - Fax:914-478-3730
Practice Address - Street 1:89 HIGHLAND LN
Practice Address - Street 2:
Practice Address - City:IRVINGTON
Practice Address - State:NY
Practice Address - Zip Code:10533-1845
Practice Address - Country:US
Practice Address - Phone:914-478-3730
Practice Address - Fax:914-478-3730
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-26
Last Update Date:2010-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY055583-1104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker