Individual provider Active NPI

Julia Crawford Rutkovsky, LCSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1144721713
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
093041 Issued in NY
Practice address
401 E 80TH St Apt 20C
New York, NY 10075-0651
Phone
(914) 874-7363
NPI assigned
Feb 27, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2023

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 093041 NY Primary

Addresses

Primary practice location

401 E 80TH St Apt 20C
New York, NY 10075-0651

Mailing address

401 E 80TH St Apt 20C
New York, NY 10075-0651
Phone (914) 874-7363

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL simplepractice

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective May 13, 2025 through May 13, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
093041NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1519689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1144721713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E 80TH ST APT 20C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100750651",
            "telephone_number": "914-874-7363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E 80TH ST APT 20C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100750651",
            "telephone_number": "914-874-7363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTKOVSKY",
        "first_name": "JULIA",
        "middle_name": "CRAWFORD",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-27",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "093041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "simplepractice",
            "affiliation": "N",
            "address_1": "401 E 80th St Apt 20C",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100750651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.