Provider Demographics
NPI:1851796460
Name:HER, RUTH ANN (LCSW)
Entity Type:Individual
Prefix:
First Name:RUTH
Middle Name:ANN
Last Name:HER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:RUTH
Other - Middle Name:ANN
Other - Last Name:AVINA LOREDO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:1180 W OLIVE AVE # K4
Mailing Address - Street 2:
Mailing Address - City:MERCED
Mailing Address - State:CA
Mailing Address - Zip Code:95348-1900
Mailing Address - Country:US
Mailing Address - Phone:209-600-3620
Mailing Address - Fax:559-675-5224
Practice Address - Street 1:1180 W OLIVE AVE # K4
Practice Address - Street 2:
Practice Address - City:MERCED
Practice Address - State:CA
Practice Address - Zip Code:95348-1900
Practice Address - Country:US
Practice Address - Phone:209-600-3620
Practice Address - Fax:559-675-5224
Is Sole Proprietor?:No
Enumeration Date:2014-10-24
Last Update Date:2022-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YP2500X
CA328421041C0700X
CALCSW929611041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional