Individual ProviderAshley RuizSocial WorkerBehavioral Health & Social Service ProvidersPractice Address7282 Stinson Ave Ste B, Gig Harbor, WA 98335(253) 857-5447PECOS EnrollmentBased on the most recent information from CMS, provider Ashley Ruiz does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1821503764Provider TypeIndividualFull NameRuiz, AshleyCredentialLSWAICGenderFemaleSole ProprietorNoEnumeration Date12/13/2017Last Updated5/26/2022Contact InformationPractice LocationPractice Address7282 Stinson Ave Ste B, Gig Harbor, WA 98335Phone(253) 857-5447Fax(253) 857-0710Mailing LocationMailing Address7282 Stinson Ave Ste B, Gig Harbor, WA 98335-4930Phone(253) 857-5447Fax(253) 857-0710Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseLW61014519WashingtonCode106S00000XDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseCB60779613WashingtonCode1041C0700XDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseSC60700116WashingtonProvider IdentifiersIDDescriptionIssuerIDCB60779613DescriptionOtherIssuerWASHINGTON STATE DEPARTMENT OF HEALTHWashingtonIDSC60700116DescriptionOtherIssuerWASHINGTON STATE DEPARTMENT OF HEALTHWashingtonID2142431DescriptionMedicaidIssuerUnlistedWashington