Active NPIIndividual provider

Mrs. Stacey J Rutherford, LICSW

Social Worker, Clinical in Worcester, Massachusetts

NPI Number1528168135
Practice location
435 Shrewsbury St, Worcester, MA 01604-1638
Fax
508-752-7245
Last updated
April 4, 2018

Stacey Jenee Rutherford is a Social Worker, Clinical based in Worcester, MA. Stacey Jenee Rutherford practices in Worcester, MA and has the professional credentials of LICSW. The NPI Number for Stacey Jenee Rutherford is 1528168135 and holds a License No. 110648 (MA). The current practice location address for Stacey Jenee Rutherford is 435 Shrewsbury St, Worcester, MA 01604-1638 and can be reached out via phone at 508-577-2017 and via fax at 508-752-7245.

Provider Profile Details

NPI Number
1528168135
Provider Name
Stacey Jenee Rutherford
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
435 Shrewsbury St, Worcester, MA 01604-1638
Phone Number
508-577-2017
Fax Number
508-752-7245
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
September 24, 2006
Last Update Date
April 4, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
435 Shrewsbury St
Worcester, MA 01604-1638
Zip
01604-1638
Phone Number
508-577-2017
Fax Number
508-752-7245
Worcester, MA 01604Get directions →

Provider Business Mailing Address Details

Address
198 Russell St
Worcester, MA 01609-2200
City
Worcester
State
MA
Zip
01609-2200
Phone Number
508-438-0110
Fax Number
508-753-5100

License Information

License Number
110648
License State
MA
Taxonomy
Social Worker, Clinical · 1041C0700X · 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 Mrs. Stacey J Rutherford, LICSW?

The NPI number of Mrs. Stacey J Rutherford, LICSW is 1528168135. It was assigned on September 24, 2006 and is currently active in the NPPES registry.

What is the specialty of Mrs. Stacey J Rutherford, LICSW?

Mrs. Stacey J Rutherford, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 110648.

Where does Mrs. Stacey J Rutherford, LICSW practice?

The practice location is 435 Shrewsbury St, Worcester, MA 01604-1638. The office can be reached at 508-577-2017 (phone) or 508-752-7245 (fax).

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 1528168135 directly on the NPPES registry website.

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