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NPI Code Detail

MEDICARE: MISS RUTH ANN DEANGELIS LCSW

MEDICARE:  MISS RUTH ANN DEANGELIS  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 Worker259193KY
21041C0700XClinical Social Worker34007820AIN

General Provider Information

NPI Number : 1417840752
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS RUTH ANN DEANGELIS LCSW
Provider Business Mailing Address
First Line : 2437 N ELM ST
Second Line :
City : HENDERSON
State : KY
Zip : 42420-2321
Country : US
Telephone Number : 270-860-2282
Fax Number :
Provider Business Practice Location Address
First Line : 2437 N ELM ST
Second Line :
City : HENDERSON
State : KY
Zip : 42420-2321
Country : US
Telephone Number : 270-860-2282
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2025
Last Update Date : 06/03/2025

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Directions to “ MISS RUTH ANN DEANGELIS LCSW” Practice Location

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