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NPI Code Detail

MEDICARE: THERESA RUGGIERO MSW, LCSW

MEDICARE: THERESA RUGGIERO MSW, LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerP008590NC
21041C0700XClinical Social WorkerC009951NC
3104100000XSocial Worker44SL05892400NJ

General Provider Information

NPI Number : 1366866857
Entity Type Code : Individual
Provider Name (Legal Business Name) : THERESA RUGGIERO MSW, LCSW
Provider Business Mailing Address
First Line : PO BOX 749495
Second Line :
City : ATLANTA
State : GA
Zip : 30374-9495
Country : US
Telephone Number : 855-963-2100
Fax Number : 813-321-1295
Provider Business Practice Location Address
First Line : 551 BREVARD RD
Second Line :
City : ASHEVILLE
State : NC
Zip : 28806-2316
Country : US
Telephone Number : 828-212-7021
Fax Number : 828-232-8218
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/05/2014
Last Update Date : 06/23/2026

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