Active NPIIndividual providerSole proprietor

Mylisha Simmons-Rutty, LMSW, LSW

Social Worker in Maplewood, New Jersey

NPI Number1245143205
Practice location
33 Boyden Pkwy, Maplewood, NJ 07040-2410
Fax
—
Last updated
September 23, 2026

Mylisha Simmons-Rutty is a Social Worker based in Maplewood, NJ. Mylisha Simmons-Rutty practices in Maplewood, NJ and has the professional credentials of LMSW, LSW. The NPI Number for Mylisha Simmons-Rutty is 1245143205. The current practice location address for Mylisha Simmons-Rutty is 33 Boyden Pkwy, Maplewood, NJ 07040-2410 and can be reached out via phone at 732-630-9381.

Provider Profile Details

NPI Number
1245143205
Provider Name
Mylisha Simmons-Rutty
Credential
LMSW, LSW
Provider Entity Type
Individual
Gender
Female
Address
33 Boyden Pkwy, Maplewood, NJ 07040-2410
Phone Number
732-630-9381
Primary Taxonomy
Social Worker · 104100000X
Sole Proprietor
Yes
Provider Enumeration Date
September 23, 2026
Last Update Date
September 23, 2026
Certification Date
September 23, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
33 Boyden Pkwy
Maplewood, NJ 07040-2410
Zip
07040-2410
Phone Number
732-630-9381
Maplewood, NJ 07040Get directions →

Provider Business Mailing Address Details

Address
33 Boyden Pkwy
Maplewood, NJ 07040-2410
City
Maplewood
State
NJ
Zip
07040-2410

License Information

License State
NY
Taxonomy
Social Worker · 104100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mylisha Simmons-Rutty, LMSW, LSW?

The NPI number of Mylisha Simmons-Rutty, LMSW, LSW is 1245143205. It was assigned on September 23, 2026 and is currently active in the NPPES registry.

What is the specialty of Mylisha Simmons-Rutty, LMSW, LSW?

Mylisha Simmons-Rutty, LMSW, LSW is registered under the primary taxonomy Social Worker (code 104100000X).

Where does Mylisha Simmons-Rutty, LMSW, LSW practice?

The practice location is 33 Boyden Pkwy, Maplewood, NJ 07040-2410. The office can be reached at 732-630-9381 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1245143205 directly on the NPPES registry website.

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