Provider Demographics
NPI:1295443968
Name:RUBY MASLOWSKI
Entity type:Organization
Organization Name:RUBY MASLOWSKI
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED CLINICAL SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:RUBY
Authorized Official - Middle Name:
Authorized Official - Last Name:MASLOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-650-0051
Mailing Address - Street 1:19 CLEVELAND ST
Mailing Address - Street 2:
Mailing Address - City:CALDWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07006-4909
Mailing Address - Country:US
Mailing Address - Phone:917-650-0051
Mailing Address - Fax:
Practice Address - Street 1:19 CLEVELAND ST
Practice Address - Street 2:
Practice Address - City:CALDWELL
Practice Address - State:NJ
Practice Address - Zip Code:07006-4909
Practice Address - Country:US
Practice Address - Phone:917-650-0051
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-10
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty