Provider Demographics
NPI:1932883469
Name:RUGGERIO, LISA ANN (CSWI)
Entity Type:Individual
Prefix:MS
First Name:LISA
Middle Name:ANN
Last Name:RUGGERIO
Suffix:
Gender:F
Credentials:CSWI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:975 KIRMAN AVE
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89502-0997
Mailing Address - Country:US
Mailing Address - Phone:775-326-2920
Mailing Address - Fax:
Practice Address - Street 1:3117 MAY ROSE CIR
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-7770
Practice Address - Country:US
Practice Address - Phone:775-527-0199
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-14
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical