National Provider Identifier
Ruth Theresa Black, LCSW-R
Ruth Theresa Black, LCSW-R is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Buffalo, NY and a listed phone number of (716) 876-8126.
Profile Overview
- NPI
- 1437260692
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- August 31, 2006
- Last Updated
- July 08, 2007
Practice Location
- 29 Tennyson Ave
- Buffalo, NY 14216
Phone: (716) 876-8126
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1437260692
- Entity Type
- Individual
- Last Name
- Black
- First Name
- Ruth
- Middle Name
- Theresa
- Credential
- LCSW-R
- Provider Other Last Name
- Wilson
- Provider Other First Name
- Ruth
- Provider Other Middle Name
- Theresa
- Provider Other Last Name Type Code
- 5
- Mailing Street Address
- 29 Tennyson Ave
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14216
- Mailing Country
- US
- Mailing Phone
- (716) 876-8126
- Mailing Fax
- (716) 876-8126
- Practice Street Address
- 29 Tennyson Ave
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14216
- Practice Country
- US
- Practice Phone
- (716) 876-8126
- Practice Fax
- (716) 876-8126
- Enumeration Date
- August 31, 2006
- Last Updated
- July 08, 2007
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)
- Other Identifiers
- 7400103 (Empire), 110342 (Value Options), 030194 (Ghi), 00510617003 (BCBS)