Ruth A Wilson, LICSW
Individual provider Active NPI Social Worker · Bolton, MA
NPI 1811065097 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1811065097
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 1017004 (MA)
- Practice address
- 563 Main Street
Bolton, MA 01740-1300 - Phone
- (978) 779-6505
- Fax
- (978) 779-0211
- NPI assigned
- Dec 4, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1017004 | MA | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 1017004 | MA | Yes |
Addresses
Primary practice location
563 Main Street
Bolton, MA 01740-1300
Mailing address
563 Main Street
Bolton, MA 01740-1300
Phone (978) 779-6505
Other providers in Bolton, MA
- TMJ & Sleep Therapy Centre of New England
- Town of Bolton
- Leigh Dexter Tuttle
- Richard R. Waller Jr.
- Dana Fene Walton
All providers in Bolton, MA · Social Worker in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.