Provider Demographics
NPI:1063030807
Name:SANCHEZ, RUBY MARGARITA (MSW, LCSWA)
Entity type:Individual
Prefix:
First Name:RUBY
Middle Name:MARGARITA
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:MSW, LCSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 W BAYSHORE BLVD
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28540-5339
Mailing Address - Country:US
Mailing Address - Phone:910-548-0794
Mailing Address - Fax:
Practice Address - Street 1:205 W BAYSHORE BLVD
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28540-5339
Practice Address - Country:US
Practice Address - Phone:910-548-0794
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-08
Last Update Date:2020-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0145791041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical