Individual provider Active NPI

Brandi Celeste Rutan, LCSW

  • Clinical Social Worker
  • Blairsville, GA
National Provider Identifier
1407989502
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW005851 Issued in GA
Practice address
40 Town SQ Unit H
Blairsville, GA 30512-8503
Phone
(706) 781-1409
Fax
(706) 946-2044
NPI assigned
Mar 14, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C009934 NC
Social Worker 104100000X 11720 SC
Social Worker 104100000X C009934 NC
Clinical Social Worker 1041C0700X CSW005851 GA Primary

Addresses

Primary practice location

40 Town SQ Unit H
Blairsville, GA 30512-8503

Mailing address

40 Town SQ Unit H
Blairsville, GA 30512-8503
Phone (706) 781-1409

Other identifiers 3

IdentifierTypeStateIssuer
CSW005851OtherGALICENSED CLINICAL SOCIAL WORKER
11720OtherSCLICENSED INDEPENDENT SOCIAL WORKER
C009934OtherNCLICENSED CLINICAL SOCIAL WORKER

Other names 1

  • Brandi Celeste Coffey Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20200227002768 GA Practitioner - Clinical Social Worker 8921375346 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

40 Town SQ
Unit H
Blairsville, GA 30512-8503
Phone (828) 342-9696

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11720SCMDProfessional Counselor
CSW005851GAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Tranquil Counseling & Consulting, LLC Clinical CurrentSince Sep 29, 2019 Accepting new patients

Locations

40 Town Sq
Unit H
Blairsville, GA 30512
Phone (706) 781-1409

333 Big Sky Dr
Hiawassee, GA 30546
Phone (828) 342-9696

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": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1407989502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 TOWN SQ UNIT H",
            "city": "BLAIRSVILLE",
            "state": "GA",
            "postal_code": "305128503",
            "telephone_number": "706-781-1409",
            "fax_number": "706-946-2044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 TOWN SQ UNIT H",
            "city": "BLAIRSVILLE",
            "state": "GA",
            "postal_code": "305128503",
            "telephone_number": "706-781-1409",
            "fax_number": "706-946-2044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTAN",
        "first_name": "BRANDI",
        "middle_name": "CELESTE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C009934",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "SC",
            "license": "11720",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NC",
            "license": "C009934",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW005851",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED CLINICAL SOCIAL WORKER",
            "identifier": "CSW005851",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED INDEPENDENT SOCIAL WORKER",
            "identifier": "11720",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED CLINICAL SOCIAL WORKER",
            "identifier": "C009934",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRANDI",
            "last_name": "COFFEY",
            "middle_name": "CELESTE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Blairsville, GA

Sources for this page

Verify at the official NPI Registry.