Active NPI
Deborah Jean Rutt, PHD, LCSW, MS
- Clinical Social Worker
- Boulder, CO
National Provider Identifier
1003257015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW09923111
- Practice address
- 5946 Gunbarrel Ave
Unit B
Boulder, CO 80301-6734 - Phone
- (303) 506-8177
- NPI assigned
- Jul 8, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CSW09923111 | CO | Primary |
| Clinical Social Worker | 1041C0700X | LW00004293 | WA |
Addresses
Primary practice location
5946 Gunbarrel Ave
Unit B
Boulder, CO 80301-6734
Mailing address
5946 Gunbarrel Ave
Unit B
Boulder, CO 80301-6734
Phone (303) 506-8177
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSW09923111 | CO | MD | Clinical Social Worker |
| LW00004293 | WA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373241600000",
"number": "1003257015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5946 GUNBARREL AVE",
"address_2": "UNIT B",
"city": "BOULDER",
"state": "CO",
"postal_code": "803016734",
"telephone_number": "303-506-8177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5946 GUNBARREL AVE",
"address_2": "UNIT B",
"city": "BOULDER",
"state": "CO",
"postal_code": "803016734",
"telephone_number": "303-506-8177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUTT",
"first_name": "DEBORAH",
"middle_name": "JEAN",
"credential": "PHD, LCSW, MS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-07-08",
"last_updated": "2013-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "CSW09923111",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "LW00004293",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.