MEDICARE: RUTH TSAI LCSW, PPS

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
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1750863890
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RUTH TSAI LCSW, PPS

Provider Business Mailing Address
First Line	:	PO BOX 17484
Second Line	:
City	:	ANAHEIM
State	:	CA
Zip	:	92817-7484
Country	:	US
Telephone Number	:	408-207-7972
Fax Number	:

Provider Business Practice Location Address
First Line	:	663 S ONEIDA WAY
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80224-1542
Country	:	US
Telephone Number	:	213-558-4348
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/05/2018
Last Update Date	:	11/29/2023

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