Ms Ruth F Wilson, LISW-S, LICDC, SAP is a
Social Worker - Clinical based in Lakewood, Ohio. Ms Ruth F Wilson is licensed to practice in Ohio (license number I0004506) and her current practice location is
14650 Detroit Avenue, Suite Ll40, Lakewood, Ohio. She can be reached at her office (for appointments etc.) via phone at
(216) 226-2721.
NPI number for Ms Ruth F Wilson is 1336183359 and her current mailing address is 14650 Detroit Avenue, Suite Ll40, Lakewood, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1336183359.
Healthcare Provider's Profile
| Full Name | Ms Ruth F Wilson |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 14650 Detroit Avenue, Lakewood, Ohio |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1336183359
- Provider Enumeration Date: 06/16/2006
- Last Update Date: 12/13/2011
Medical Identifiers
Medical identifiers for Ms Ruth F Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336183359 | NPI | - | NPPES |
| 0274215 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 862270 (Ohio) | Secondary |
| 1041C0700X | Social Worker - Clinical | I4506 (Ohio) | Secondary |
| 1041C0700X | Social Worker - Clinical | I0004506 (Ohio) | Primary |
| 1041C0700X | Social Worker - Clinical | 862270 (Ohio) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Ruth F Wilson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Ruth F Wilson, LISW-S, LICDC, SAP
14650 Detroit Avenue, Suite Ll40,
Lakewood, OH 44107
Ph: (216) 226-2721 | Ms Ruth F Wilson, LISW-S, LICDC, SAP
14650 Detroit Avenue, Suite Ll40,
Lakewood, OH 44107
Ph: (216) 226-2721 |
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