Individual provider Active NPI

Christine M Rucker, LCSW

  • Clinical Social Worker
  • Norfolk, VA
National Provider Identifier
1245919331
Registry record updated Jan 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904019619 Issued in VA
Practice address
7460 Tidewater Dr
Norfolk, VA 23505-3845
Phone
(757) 664-6670
NPI assigned
Jul 14, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904019619 VA Primary
Clinical Social Worker 1041C0700X 122587 NY

Addresses

Primary practice location

7460 Tidewater Dr
Norfolk, VA 23505-3845

Mailing address

400 Warren Cres Apt 3
Norfolk, VA 23507-2242
Phone (757) 769-1796

Other practice location 1

350 W 22nd St Ste 108
Norfolk, VA 23517-2107
Phone (757) 769-1796

Other practice location 2

129 W Virginia Beach Blvd
Norfolk, VA 23510-2030
Phone (757) 704-5558

Other practice location 3

235 Main St Ste 520
White Plains, NY 10601-2421
Phone (212) 362-4490

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20260604003541 VA Practitioner - Clinical Social Worker 6608347257 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7447 Central Business Park Dr
Norfolk, VA 23513-2867

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
122587NYMDClinical Social Worker
0904019619VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
City of Norfolk Clinical CurrentSince Apr 26, 2026 Accepting new patients
CMR Group, LLC Clinical CurrentSince Dec 14, 2025 Accepting new patients
Deep Connections Counseling LLC Past Accepting new patients
Feeling Good Psychotherapy LCSW, PLLC Clinical Past Accepting new patients

Locations

7460 Tidewater Dr
Norfolk, VA 23505
Phone (757) 664-6670

7464 Tidewater Dr
#C
Norfolk, VA 23505
Phone (757) 664-7690

Organizations & group practices 4

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": "1689292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768003200000",
    "number": "1245919331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 WARREN CRES APT 3",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235072242",
            "telephone_number": "757-769-1796",
            "fax_number": "757-655-3616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7460 TIDEWATER DR",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235053845",
            "telephone_number": "757-664-6670"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350 W 22nd St Ste 108",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235172107",
            "country_code": "US",
            "telephone_number": "757-769-1796",
            "fax_number": "757-655-3616",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "129 W Virginia Beach Blvd",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235102030",
            "country_code": "US",
            "telephone_number": "757-704-5558",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "235 Main St Ste 520",
            "address_purpose": "LOCATION",
            "city": "White Plains",
            "state": "NY",
            "postal_code": "106012421",
            "country_code": "US",
            "telephone_number": "212-362-4490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUCKER",
        "first_name": "CHRISTINE",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-14",
        "last_updated": "2026-01-10",
        "certification_date": "2026-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904019619",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "122587",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.