National Provider Identifier
Ruthanne Jillian
Ruthanne Jillian is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Tonawanda, NY and a listed phone number of (716) 694-4618.
Profile Overview
- NPI
- 1487634630
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- January 21, 2006
- Last Updated
- November 10, 2008
Practice Location
- 28 Dale Dr
- Tonawanda, NY 14150-4308
Phone: (716) 694-4618
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1487634630
- Entity Type
- Individual
- Last Name
- Jillian
- First Name
- Ruthanne
- Provider Other Last Name
- Jillian
- Provider Other First Name
- Ruthanne
- Provider Other Credential Text
- LCSW-R
- Provider Other Last Name Type Code
- 2
- Mailing Street Address
- 28 Dale Dr
- Mailing City
- Tonawanda
- Mailing State
- NY
- Mailing ZIP Code
- 14150-4308
- Mailing Country
- US
- Mailing Phone
- (716) 694-4618
- Mailing Fax
- (716) 694-4618
- Practice Street Address
- 28 Dale Dr
- Practice City
- Tonawanda
- Practice State
- NY
- Practice ZIP Code
- 14150-4308
- Practice Country
- US
- Practice Phone
- (716) 694-4618
- Practice Fax
- (716) 694-4618
- Enumeration Date
- January 21, 2006
- Last Updated
- November 10, 2008
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)