Healthcare Provider Details

I. General information

NPI: 1487687901
Provider Name (Legal Business Name): MARGARET S RUANTO L.C.S.W.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2006
Last Update Date: 04/27/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 PARK ST BOWLING GREEN
BOWLING GREEN KY
42101-1760
US

IV. Provider business mailing address

PO BOX 90010 BOWLING GREEN
BOWLING GREEN KY
42102-9010
US

V. Phone/Fax

Practice location:
  • Phone: 270-796-2550
  • Fax: 270-796-6569
Mailing address:
  • Phone: 270-796-2550
  • Fax: 270-796-6569

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberKY-833
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: