Healthcare Provider Details

I. General information

NPI: 1881503589
Provider Name (Legal Business Name): RUBY MAE WRIGHT LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/07/2026
Last Update Date: 09/07/2026
Certification Date: 09/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5455 CLARKINS DR
YOUNGSTOWN OH
44515-1120
US

IV. Provider business mailing address

2740 E MIDLOTHIAN BLVD
YOUNGSTOWN OH
44502-3141
US

V. Phone/Fax

Practice location:
  • Phone: 330-777-1312
  • Fax:
Mailing address:
  • Phone: 614-266-1041
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberS.2613659
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: