Individual provider Active NPI

Suzanne Irene Rutkowski, LCSW

  • Clinical Social Worker
  • Lancaster, PA
National Provider Identifier
1073836102
Registry record updated Aug 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW016296 Issued in PA
Practice address
2113 Manor Ridge Dr
Lancaster, PA 17603
Phone
(717) 560-3782
NPI assigned
Mar 3, 2010
Last updated
Aug 28, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW016296 PA Primary

Addresses

Primary practice location

2113 Manor Ridge Dr
Lancaster, PA 17603

Mailing address

2113 Manor Ridge Dr
Lancaster, PA 17603-4215
Phone (717) 560-3782

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100421000741 PA Practitioner - Clinical Social Worker 7012044118 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Temple University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lancaster General Medical GroupGroup PAC ID 0941103683, 590 clinicians

Practice addresses (Care Compare)

101 Abbeyville Rd
Lancaster, PA 17603-4603
Phone (717) 560-3782

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster General Hospital CurrentSince Jan 1, 2025 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Jun 4, 2024 Accepting new patients
Lancaster General Medical Group CurrentSince Sep 10, 2018 Accepting new patients
Lancaster General Hospital CurrentSince Jan 1, 2025 Accepting new patients
Lancaster General Medical Group Clinical CurrentSince Sep 10, 2018 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

101 Abbeyville Rd
Lancaster, PA 17603
Phone (717) 291-5991

2113 Manor Ridge Dr
Lancaster, PA 17603
Phone (717) 299-4644

3045 Marietta Ave
Lancaster, PA 17601
Phone (717) 299-4644

555 N Duke St
Lancaster, PA 17602
Phone (717) 544-5945

1626 Locust St
Philadelphia, PA 19103
Phone (215) 709-3177

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1267574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535414400000",
    "number": "1073836102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2113 MANOR RIDGE DR",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176034215",
            "telephone_number": "717-560-3782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2113 MANOR RIDGE DR",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "17603",
            "telephone_number": "717-560-3782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTKOWSKI",
        "first_name": "SUZANNE",
        "middle_name": "IRENE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-03",
        "last_updated": "2018-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW016296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.