Healthcare Provider Details

I. General information

NPI: 1861718116
Provider Name (Legal Business Name): CARRIE ANN RUVIO MSW, LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CARRIE ANN CLINE MSW, LMSW

II. Dates (important events)

Enumeration Date: 04/12/2010
Last Update Date: 04/12/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

330 DELAWARE AVE CHILD & FAMILY SERVICES
BUFFALO NY
14202-1804
US

IV. Provider business mailing address

330 DELAWARE AVE CHILD & FAMILY SERVICES
BUFFALO NY
14202-1804
US

V. Phone/Fax

Practice location:
  • Phone: 716-335-7084
  • Fax:
Mailing address:
  • Phone: 716-335-7084
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number080810
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: