Provider Demographics
NPI:1700760402
Name:GALLEGOS, RUTH (LMSW)
Entity type:Individual
Prefix:
First Name:RUTH
Middle Name:
Last Name:GALLEGOS
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:774 METRO LN NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87123-1464
Mailing Address - Country:US
Mailing Address - Phone:928-254-9526
Mailing Address - Fax:
Practice Address - Street 1:MORIARITY HIGH SCHOOL
Practice Address - Street 2:200 CENTER AVENUE
Practice Address - City:MORIARITY
Practice Address - State:NM
Practice Address - Zip Code:87035
Practice Address - Country:US
Practice Address - Phone:505-832-4254
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-05
Last Update Date:2025-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMSWB-2025-08101041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool