Provider Demographics
NPI:1316171382
Name:RUGGIRELLO, CONCEPCION GONZALEZ (MSW, LCSW)
Entity type:Individual
Prefix:
First Name:CONCEPCION
Middle Name:GONZALEZ
Last Name:RUGGIRELLO
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:CONNIE
Other - Middle Name:GONZALEZ
Other - Last Name:RUGGIRELLO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:13620 CORDARY AVE
Mailing Address - Street 2:
Mailing Address - City:HAWTHORNE
Mailing Address - State:CA
Mailing Address - Zip Code:90250-7409
Mailing Address - Country:US
Mailing Address - Phone:310-970-1921
Mailing Address - Fax:310-970-1330
Practice Address - Street 1:13620 CORDARY AVE
Practice Address - Street 2:
Practice Address - City:HAWTHORNE
Practice Address - State:CA
Practice Address - Zip Code:90250-7409
Practice Address - Country:US
Practice Address - Phone:310-970-1921
Practice Address - Fax:310-970-1330
Is Sole Proprietor?:No
Enumeration Date:2009-05-06
Last Update Date:2009-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS 231601041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical