Provider Demographics
NPI:1669272472
Name:VILLARREAL, RUTH ENEDINA (ASW)
Entity type:Individual
Prefix:
First Name:RUTH
Middle Name:ENEDINA
Last Name:VILLARREAL
Suffix:
Gender:F
Credentials:ASW
Other - Prefix:MS
Other - First Name:RUTH
Other - Middle Name:E
Other - Last Name:VILLARREAL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:ASW
Mailing Address - Street 1:1875 W REDONDO BEACH BLVD STE 303
Mailing Address - Street 2:
Mailing Address - City:GARDENA
Mailing Address - State:CA
Mailing Address - Zip Code:90247-3644
Mailing Address - Country:US
Mailing Address - Phone:562-665-9409
Mailing Address - Fax:
Practice Address - Street 1:1875 W REDONDO BEACH BLVD STE 303
Practice Address - Street 2:
Practice Address - City:GARDENA
Practice Address - State:CA
Practice Address - Zip Code:90247-3644
Practice Address - Country:US
Practice Address - Phone:562-665-9409
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-19
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical