Stacie Hope Rutar, MSW,CSW,LISW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

3339 Issued in KY

Practice address

503 Farrell Dr
Covington, KY 41011-3775

Phone

(859) 331-3292

Fax

(859) 578-2864

NPI assigned

Nov 21, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Stacie Hope Cahill Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260835200000",
    "number": "1295800811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 FARRELL DR",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "410113775",
            "telephone_number": "859-331-3292",
            "fax_number": "859-578-2864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 FARRELL DR",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "410113775",
            "telephone_number": "859-331-3292",
            "fax_number": "859-578-2864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTAR",
        "first_name": "STACIE",
        "middle_name": "HOPE",
        "credential": "MSW,CSW,LISW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2009-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "3339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACIE",
            "last_name": "CAHILL",
            "middle_name": "HOPE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kathleen Ann Rudnick, R.N.
• Susan Ruedy, M.A.
• Autumn R Ruehl, CSW
• Shannon Rebecca Russell, LCSW
• Thomas Woodrow Russell, RPH
• Julia Marie Sager, DPT
• Giovanna Salas-Crawford
• Shelby Sallade, M.ED.
• Sheena Lee Sammons, OTR/L
• Debra Kay Savignano, D.C.

• Clinical Social Worker in Covington, KY
• Providers in Covington, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2009; 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.