Ellerd, Ruth Anne

Ellerd, Ruth Anne is an sole proprietor health care provider with primary practice located at 28 N Country Rd , Mount Sinai NY 11766-1518. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Ellerd, Ruth Anne can be contacted via phone (631) 375-5663.

Contact Information

Primary practice address
28 N Country Rd Mount Sinai NY 11766-1518
Fax: (631) 473-0733
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X R055718-1 New York

Profile Details

NPI number 1972573491
LBN Legal business name Ellerd, Ruth Anne
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 26th, 2006
Last updated Jan 22nd, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1972573491 NPPES
New York MEDICAID 02-53-9427

Popular Providers