Healthcare Provider Details

I. General information

NPI: 1447706221
Provider Name (Legal Business Name): TERICKA M RINGLER MSW, LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2016
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7452 APPOMATTOX AVE
KEYSTONE HEIGHTS FL
32656-8103
US

IV. Provider business mailing address

252 CLARK RD
MAYFIELD KY
42066-7557
US

V. Phone/Fax

Practice location:
  • Phone: 270-345-0427
  • Fax:
Mailing address:
  • Phone: 270-345-0427
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number260204
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number2016031530
License Number StateMO
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW17473
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: