Ruth P. Manville, LCSW, PC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

131196-3501 Issued in UT

Legal business name

RUTH P. MANVILLE, LCSW, PC

Practice address

370 E South Temple
Suite #240
Salt Lake City, UT 84111-1206

Phone

(801) 328-8444

Fax

(801) 328-4590

NPI assigned

Feb 14, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Ruth Manville, MSWNPI 1023235033

Title

President

Phone

(801) 328-8444

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ruth Pellett Manville, MSW

  • Mental Health Counselor
  • Salt Lake City, UT
  • NPI 1023235033

  Clinical

  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1202947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202947200000",
    "number": "1275701054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 E SOUTH TEMPLE",
            "address_2": "SUITE #240",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841111206",
            "telephone_number": "801-328-8444",
            "fax_number": "801-328-4590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 E SOUTH TEMPLE",
            "address_2": "SUITE #240",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841111206",
            "telephone_number": "801-328-8444",
            "fax_number": "801-328-4590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUTH P. MANVILLE, LCSW, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-14",
        "last_updated": "2008-02-14",
        "status": "A",
        "authorized_official_last_name": "MANVILLE",
        "authorized_official_first_name": "RUTH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-328-8444",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "131196-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Nichole Russon
• Leah Russon
• Josi Rust
• Lena C Rust
• Mati Rust
• Christina Ruth
• Dale A Rutledge, MD
• Eliza Rutta
• Elizabeth Dickson Rutter, M.D.
• Kevin Christopher Rutter, LCSW

• Clinical Social Worker in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.