Provider Demographics
NPI:1295284180
Name:RUTH, DORRIE DALE (MSW, LCSW)
Entity type:Individual
Prefix:MS
First Name:DORRIE
Middle Name:DALE
Last Name:RUTH
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 1:2048 OVERLAND AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59102-7428
Mailing Address - Country:US
Mailing Address - Phone:406-702-7022
Mailing Address - Fax:855-622-8232
Practice Address - Street 1:2048 OVERLAND AVE STE 101
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59102-7428
Practice Address - Country:US
Practice Address - Phone:406-702-7022
Practice Address - Fax:855-622-8232
Is Sole Proprietor?:No
Enumeration Date:2016-10-03
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WYPCSW-7081041C0700X
WYLCSW-10871041C0700X
MT388771041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical