Provider Demographics
NPI:1982724423
Name:SOTELO, RUTH AIMEE (LICSW)
Entity type:Individual
Prefix:MRS
First Name:RUTH
Middle Name:AIMEE
Last Name:SOTELO
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 227
Mailing Address - Street 2:
Mailing Address - City:RAYNHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02767-0227
Mailing Address - Country:US
Mailing Address - Phone:774-206-0146
Mailing Address - Fax:
Practice Address - Street 1:116 SOUTH ST
Practice Address - Street 2:
Practice Address - City:FOXBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:02035-1760
Practice Address - Country:US
Practice Address - Phone:774-206-0146
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-29
Last Update Date:2023-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1165031041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical