Provider Demographics
NPI:1922204908
Name:CODRINGTON-RIVIERE, RUTHINE (LCSW /ACSW)
Entity Type:Individual
Prefix:MS
First Name:RUTHINE
Middle Name:
Last Name:CODRINGTON-RIVIERE
Suffix:
Gender:F
Credentials:LCSW /ACSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:140-15B SANDFORD AVE
Mailing Address - Street 2:FLUSHING
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355
Mailing Address - Country:US
Mailing Address - Phone:718-397-0825
Mailing Address - Fax:
Practice Address - Street 1:140-15B SANDFORD AVE
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355
Practice Address - Country:US
Practice Address - Phone:718-358-8288
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-26
Last Update Date:2010-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR050951-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical