Healthcare Provider Details

I. General information

NPI: 1629056809
Provider Name (Legal Business Name): BARBARA A RUCHAMES MSW LCSW NY STATE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: BARBARA A NAGLIN MSW

II. Dates (important events)

Enumeration Date: 01/06/2006
Last Update Date: 10/25/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14 LEROY ST
BINGHAMTON NY
13905
US

IV. Provider business mailing address

14 LEROY ST
BINGHAMTON NY
13905
US

V. Phone/Fax

Practice location:
  • Phone: 607-722-1918
  • Fax: 607-724-3865
Mailing address:
  • Phone: 607-722-1918
  • Fax: 607-724-3865

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberR021624
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: