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NPI Code Detail

MEDICARE: TAFFY SMITH RUGGERI LICSW

MEDICARE:   TAFFY SMITH RUGGERI  LICSW
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 Worker114519MA

General Provider Information

NPI Number : 1508349861
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAFFY SMITH RUGGERI LICSW
Provider Business Mailing Address
First Line : 26 ASHFIELD RD
Second Line :
City : SHELBURNE FALLS
State : MA
Zip : 01370-9416
Country : US
Telephone Number : 413-824-7356
Fax Number :
Provider Business Practice Location Address
First Line : 26 ASHFIELD RD
Second Line :
City : SHELBURNE FALLS
State : MA
Zip : 01370-9416
Country : US
Telephone Number : 413-625-9811
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2018
Last Update Date : 09/12/2018

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Directions to “ TAFFY SMITH RUGGERI LICSW” Practice Location

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