Healthcare Provider Details

I. General information

NPI: 1235066572
Provider Name (Legal Business Name): RUTH MORICETTE LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/08/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1110 BRICKWELL 430
MIAMI FL
33131
US

IV. Provider business mailing address

7707 SW 7TH CT
NORTH LAUDERDALE FL
33068-2216
US

V. Phone/Fax

Practice location:
  • Phone: 919-576-0149
  • Fax:
Mailing address:
  • Phone: 954-471-3527
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberC019617
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW25930
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: