Michael Duane Rutledge, L.C.S.W.

Primary specialty

Social WorkerTaxonomy code 104100000X

License

24545 Issued in CA

Practice address

9343 Tech Center Dr
Suite 200
Sacramento, CA 95826-2563

Phone

(916) 351-2812

Fax

(916) 641-9599

NPI assigned

Aug 19, 2006

Last updated

Mar 16, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331856000000",
    "number": "1770697401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9343 TECH CENTER DR",
            "address_2": "SUITE 200",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958262563",
            "telephone_number": "916-351-2812",
            "fax_number": "916-641-9599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9343 TECH CENTER DR",
            "address_2": "SUITE 200",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958262563",
            "telephone_number": "916-351-2812",
            "fax_number": "916-641-9599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTLEDGE",
        "first_name": "MICHAEL",
        "middle_name": "DUANE",
        "name_prefix": "Mr.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2012-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "24545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Michelle Rutherford, D.D.S.
• Isaiah Rutherford
• Sarah Elisabeth Rutherford, LMP
• Breanna Ruthrauff, MD
• Ashton Michaela Rutledge
• Mary Julia Rutter
• Angie Ruvalcaba
• Bertha Picazo Ruvalcaba, MSW, LCSW
• Brenda Anais Ruvalcaba, M.D.
• Jessica Ruvalcaba

• Social Worker in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2012; 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.