Provider Demographics
NPI:1942285812
Name:VRUWINK, DEBORAH RYAN (MSW, LCSW)
Entity Type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:RYAN
Last Name:VRUWINK
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:547 N FAYETTEVILLE ST
Mailing Address - Street 2:
Mailing Address - City:ASHEBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27203-4725
Mailing Address - Country:US
Mailing Address - Phone:336-629-7112
Mailing Address - Fax:336-629-0312
Practice Address - Street 1:547 N FAYETTEVILLE ST
Practice Address - Street 2:
Practice Address - City:ASHEBORO
Practice Address - State:NC
Practice Address - Zip Code:27203-4725
Practice Address - Country:US
Practice Address - Phone:336-629-7112
Practice Address - Fax:336-629-0312
Is Sole Proprietor?:No
Enumeration Date:2005-12-13
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0040411041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC13838OtherBCBS
NC6002425Medicaid
NC2860990AMedicare ID - Type UnspecifiedMEDICARE