Kecia Thompson Rutledge, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P020073 Issued in NC

Practice address

4440 Merlane Dr Apt 108
Charlotte, NC 28213-6081

Phone

(704) 967-9393

NPI assigned

Jan 2, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Monarch

  • Community/Behavioral Health Agency
  • Greensboro, NC
  • NPI 1831465442
  NPD (past)

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

{
    "created_epoch": "1704153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1144090135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4440 MERLANE DR APT 108",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282136081",
            "telephone_number": "704-967-9393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4440 MERLANE DR APT 108",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282136081",
            "telephone_number": "704-967-9393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTLEDGE",
        "first_name": "KECIA",
        "middle_name": "THOMPSON",
        "credential": "LCSWA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-02",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P020073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Farrah Rutherford
• Liane Rae Ruthig, DPT
• Margaret Rutkowski, OTD, OTR/L
• Nancy June Rutland, NP
• Debbie Rutledge-Holt, PA
• Mary T Rutledge, MSW
• Reagan Rutledge
• Sarah Rowland Rutledge, APRN
• Troy Houston Rutledge, DC
• Judy Naserian Rutto, FNP

• Clinical Social Worker in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.