Provider Demographics
NPI:1861160509
Name:RUAN, ADELIE (PLMSW)
Entity type:Individual
Prefix:
First Name:ADELIE
Middle Name:
Last Name:RUAN
Suffix:
Gender:F
Credentials:PLMSW
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 912678
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80291-2678
Mailing Address - Country:US
Mailing Address - Phone:505-241-5182
Mailing Address - Fax:
Practice Address - Street 1:SOUTH VALLEY HEALTH CENTER
Practice Address - Street 2:2001 CENTROL FAMILIAR SW
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87105
Practice Address - Country:US
Practice Address - Phone:505-877-4400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-30
Last Update Date:2025-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMSWB-2025-02821041C0700X
NMX-118411041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical