Healthcare Provider Details

I. General information

NPI: 1679369540
Provider Name (Legal Business Name): DANIEL RUIZ MSW ,SWC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/17/2025
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1306 11TH AVE
GREELEY CO
80631-3835
US

IV. Provider business mailing address

7000 STEEPLE CHASE DR APT 307
WINDSOR CO
80550-8131
US

V. Phone/Fax

Practice location:
  • Phone: 970-347-2120
  • Fax:
Mailing address:
  • Phone: 970-389-1272
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: