Active NPI
David Forrest Rutherford, LCSWC MSSW
- Social Worker
- Hagerstown, MD
National Provider Identifier
1205924602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 04938
- Practice address
- 1180 Professional Court
The Mental Health Center of Western Maryland Inc
Hagerstown, MD 21740 - Phone
- (301) 791-3405
- Fax
- (240) 313-3071
- NPI assigned
- Oct 11, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 04938 | MD | Primary |
| Social Worker | 104100000X | CW013713 | PA |
Addresses
Primary practice location
1180 Professional Court
The Mental Health Center of Western Maryland Inc
Hagerstown, MD 21740
Mailing address
1180 Professional Court
Mental Health Center
Hagerstown, MD 21740
Phone (301) 791-3405
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04938 | MD | MD | Social Worker |
| CW013713 | PA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Franco Counseling Assoc PC | Social Worker | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1205924602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1180 PROFESSIONAL COURT",
"address_2": "MENTAL HEALTH CENTER",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "21740",
"telephone_number": "301-791-3405",
"fax_number": "301-714-1212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1180 PROFESSIONAL COURT",
"address_2": "THE MENTAL HEALTH CENTER OF WESTERN MARYLAND INC",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "21740",
"telephone_number": "301-791-3405",
"fax_number": "240-313-3071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUTHERFORD",
"first_name": "DAVID",
"middle_name": "FORREST",
"credential": "LCSWC MSSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "04938",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PA",
"license": "CW013713",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hagerstown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.