Sharon Denise Rutledge, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6802070572 Issued in MI

Practice address

3534 Dickerson St
Detroit, MI 48215-2486

Phone

(313) 492-2745

Fax

(313) 824-2668

NPI assigned

Jan 2, 2007

Sex

Female

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 MI

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

Specialty

Clinical Social Worker

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Evolutionary Intervention LLCGroup PAC ID 0244646610, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Evolutionary Intervention LLC

  • Community/Behavioral Health Agency
  • Southfield, MI
  • NPI 1679846505

  Professional

  Medicare reassignment Care Compare group NPD
• Clinton Counseling Center

  • Community/Behavioral Health Agency
  • Mount Clemens, MI
  • NPI 1568795599
  NPD
• New Center Community Mental Health Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Detroit, MI
  • NPI 1306864129
  NPD (past)
• New Center Community Mental Health Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Detroit, MI
  • NPI 1588672091
  NPD (past)

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698364800000",
    "number": "1891852687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3534 DICKERSON ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482152486",
            "telephone_number": "313-492-2745",
            "fax_number": "313-824-2668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3534 DICKERSON ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482152486",
            "telephone_number": "313-492-2745",
            "fax_number": "313-824-2668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTLEDGE",
        "first_name": "SHARON",
        "middle_name": "DENISE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6802070572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Basil Rutkowski
• Leslie Rutland-Tipton, M.DIV., BCC
• Brian Rutledge, M.D.
• Clifford Rutledge, RN
• Keseanda Rutledge
• Nicholas Rutowicz III
• Greg L Ruttan
• Cordelia Helen Rutter
• Karen Ruwoldt
• Sherri Lynn Ruza, LMSW

• Clinical Social Worker in Detroit, MI
• Providers in Detroit, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.