Provider Demographics
NPI:1275990822
Name:CONTRERAS, RUTH
Entity type:Individual
Prefix:
First Name:RUTH
Middle Name:
Last Name:CONTRERAS
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:424 WALNUT DR
Mailing Address - Street 2:
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93036-1323
Mailing Address - Country:US
Mailing Address - Phone:805-890-7154
Mailing Address - Fax:
Practice Address - Street 1:1911 WILLIAMS DR
Practice Address - Street 2:
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93036-2612
Practice Address - Country:US
Practice Address - Phone:805-890-7154
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-26
Last Update Date:2025-05-07
Deactivation Date:2018-07-23
Deactivation Code:
Reactivation Date:2018-08-28
Provider Licenses
StateLicense IDTaxonomies
CALCSW1228171041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical