Basic Information
Provider Information
NPI: 1922204908
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CODRINGTON-RIVIERE
FirstName: RUTHINE
MiddleName:  
NamePrefix: MS.
NameSuffix:  
Credential: LCSW /ACSW
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 140-15B SANDFORD AVE
Address2: FLUSHING
City: FLUSHING
State: NY
PostalCode: 11355
CountryCode: US
TelephoneNumber: 7183970825
FaxNumber:  
Practice Location
Address1: 140-15B SANDFORD AVE
Address2:  
City: FLUSHING
State: NY
PostalCode: 11355
CountryCode: US
TelephoneNumber: 7183588288
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/26/2007
LastUpdateDate: 09/15/2010
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
1041C0700XR050951-1NYY Behavioral Health & Social Service ProvidersSocial WorkerClinical

No ID Information.


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