Provider Demographics
NPI:1972898641
Name:BURTON, RUTH A (LCSW)
Entity type:Individual
Prefix:
First Name:RUTH
Middle Name:A
Last Name:BURTON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 DALTON DR
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19702-2059
Mailing Address - Country:US
Mailing Address - Phone:302-275-8577
Mailing Address - Fax:302-454-7274
Practice Address - Street 1:3135 SUMMIT BRIDGE RD
Practice Address - Street 2:
Practice Address - City:BEAR
Practice Address - State:DE
Practice Address - Zip Code:19701-2001
Practice Address - Country:US
Practice Address - Phone:302-275-8577
Practice Address - Fax:302-454-7274
Is Sole Proprietor?:No
Enumeration Date:2011-06-10
Last Update Date:2011-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEQ1-00010891041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical