Active NPI
David Alexander Rutledge Sr., MSW, LSW
- Clinical Social Worker
- Dayton, OH
National Provider Identifier
1891281580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- S.1450804
- Practice address
- 2261 Philadelphia Dr.
Dayton, OH 45406 - Phone
- (937) 734-6763
- Fax
- (937) 277-7249
- NPI assigned
- Jul 5, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | S.1450804 | OH | Primary |
Addresses
Primary practice location
2261 Philadelphia Dr.
Dayton, OH 45406
Mailing address
3838 Berrywood Dr
Dayton, OH 45424-4879
Phone (937) 610-8618
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S.1450804 | OH | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530748800000",
"number": "1891281580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3838 BERRYWOOD DR",
"city": "DAYTON",
"state": "OH",
"postal_code": "454244879",
"telephone_number": "937-610-8618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2261 PHILADELPHIA DR.",
"city": "DAYTON",
"state": "OH",
"postal_code": "45406",
"telephone_number": "937-734-6763",
"fax_number": "937-277-7249"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUTLEDGE",
"first_name": "DAVID",
"middle_name": "ALEXANDER",
"name_prefix": "Mr.",
"name_suffix": "Sr.",
"credential": "MSW, LSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-07-05",
"last_updated": "2018-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "S.1450804",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.