Provider Demographics
NPI:1356366223
Name:FARIS, RUTH RASHED (LICSW)
Entity type:Individual
Prefix:MS
First Name:RUTH
Middle Name:RASHED
Last Name:FARIS
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 SPRING HILL TER
Mailing Address - Street 2:
Mailing Address - City:SOMERVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:02143-1516
Mailing Address - Country:US
Mailing Address - Phone:617-666-3513
Mailing Address - Fax:
Practice Address - Street 1:6 SPRING HILL TER
Practice Address - Street 2:
Practice Address - City:SOMERVILLE
Practice Address - State:MA
Practice Address - Zip Code:02143-1516
Practice Address - Country:US
Practice Address - Phone:617-666-3513
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1028461041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical