Provider Demographics
NPI:1588074835
Name:PIERCE, RUTH EVELYN II (MSW/CASAC)
Entity type:Individual
Prefix:MS
First Name:RUTH
Middle Name:EVELYN
Last Name:PIERCE
Suffix:II
Gender:F
Credentials:MSW/CASAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 WEST 147TH STREET
Mailing Address - Street 2:APT. 4B
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:11101
Mailing Address - Country:US
Mailing Address - Phone:347-510-3422
Mailing Address - Fax:
Practice Address - Street 1:201 W 147TH ST
Practice Address - Street 2:APT. 4B
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10039-3445
Practice Address - Country:US
Practice Address - Phone:212-694-4026
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-07
Last Update Date:2014-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)