Barron E Rutledge, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2017034815 Issued in MO

Practice address

111 Prospect Ave
Ste 201D
Kirkwood, MO 63122-6052

Phone

(614) 425-2604

NPI assigned

Aug 5, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1564963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567555200000",
    "number": "1689229874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13439 FORESTLAC DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416005",
            "telephone_number": "614-425-2604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 PROSPECT AVE",
            "address_2": "STE 201D",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631226052",
            "telephone_number": "614-425-2604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTLEDGE",
        "first_name": "BARRON",
        "middle_name": "E",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-05",
        "last_updated": "2019-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2017034815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Roodman, O.T.
• Tammy Root, PHD, MS, NCC
• Roots Renewal Counseling
• Alyssa Rowbottom
• Keela Rushing, PT
• Maria D Sabio, MD,
• Timothy Sachs
• John Paul Sahrmann, D.M.D.
• Saint Louis Homecare Agency, Inc.
• Ryan Allen Sandheinrich, D.C.

• Clinical Social Worker in Kirkwood, MO
• Providers in Kirkwood, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.