Provider Demographics
NPI:1588676878
Name:TURCHINETZ, RUTH ANN MATILDA (LICSW)
Entity type:Individual
Prefix:
First Name:RUTH
Middle Name:ANN MATILDA
Last Name:TURCHINETZ
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:326 SANTUIT NEWTOWN RD
Mailing Address - Street 2:
Mailing Address - City:MARSTONS MILLS
Mailing Address - State:MA
Mailing Address - Zip Code:02648-1341
Mailing Address - Country:US
Mailing Address - Phone:781-929-8230
Mailing Address - Fax:
Practice Address - Street 1:326 SANTUIT NEWTOWN RD
Practice Address - Street 2:
Practice Address - City:MARSTONS MILLS
Practice Address - State:MA
Practice Address - Zip Code:02648-1341
Practice Address - Country:US
Practice Address - Phone:781-929-8230
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-13
Last Update Date:2024-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10178801041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAP22618Medicare ID - Type UnspecifiedPANEL