Individual
HEATHER A RUARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
2336 GODDARD PKWY, SALISBURY, MD 21801-1126
(410) 334-6961
(410) 334-6362
Mailing address
2336 GODDARD PKWY, SALISBURY, MD 21801-1126
(410) 334-6961
(410) 334-6362
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
19726
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
259147-000
MAGELLAN BEHAVIORAL HEALTH
MD
01
—
346646
MHN
MD
01
—
517251
OPTUM-UBH
MD
01
—
52156095
AMERICAN PSYCH SYSTEM
MD
01
—
522156095
CIGNA
MD
05
—
609550001
—
MD
01
—
7840093
AETNA
MD
01
—
LM49EA
CAREFIRST BCBS
MD
01
—
R968
CAREFIRST
MD
Enumeration date
07/31/2014
Last updated
08/12/2014
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