1235357013 NPI number — MRS. MARY RUTH RIPPER MSW, LCSW, OSW-C

Table of content: MRS. MARY RUTH RIPPER MSW, LCSW, OSW-C (NPI 1235357013)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1235357013 NPI number — MRS. MARY RUTH RIPPER MSW, LCSW, OSW-C

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
RIPPER
Provider First Name:
MARY
Provider Middle Name:
RUTH
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
MSW, LCSW, OSW-C
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
SCHNEIDER
Provider Other First Name:
MARY
Provider Other Middle Name:
RUTH
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1235357013
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/22/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
BLESSING HEALTHCARE SYSTEM
Provider Second Line Business Mailing Address:
1005 BROADWAY ST
Provider Business Mailing Address City Name:
QUINCY
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
62301
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
217-223-8400
Provider Business Mailing Address Fax Number:
217-214-5806

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
BLESSING HEALTHCARE SYSTEM
Provider Second Line Business Practice Location Address:
1005 BROADWAY ST
Provider Business Practice Location Address City Name:
QUINCY
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
62301
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
217-223-8400
Provider Business Practice Location Address Fax Number:
217-214-5806
Provider Enumeration Date:
04/24/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  2009000237 , registered in the state of MO ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 1041C0700X , with the licence number: 149012750 , registered in the state of IL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com