Healthcare Provider Details

I. General information

NPI: 1003653601
Provider Name (Legal Business Name): JULIANNE RUWE LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2024
Last Update Date: 07/10/2024
Certification Date: 07/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 W 19TH TER
KANSAS CITY MO
64108-2026
US

IV. Provider business mailing address

1225 UNION AVE APT 203
KANSAS CITY MO
64101-1400
US

V. Phone/Fax

Practice location:
  • Phone: 913-575-2216
  • Fax:
Mailing address:
  • Phone: 913-575-2216
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number2021025307
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: