Individual provider Active NPI

Suzanne M Rutti, MSW, LISW-S

  • Clinical Social Worker
  • Columbus, OH
National Provider Identifier
1982812533
Registry record updated Oct 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.0800234-SUPV Issued in OH
Practice address
1200 W 5TH Ave
102D
Columbus, OH 43212-2503
Phone
(614) 398-1927
Fax
(614) 824-4271
NPI assigned
May 18, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I.0800234-SUPV OH Primary

Addresses

Primary practice location

1200 W 5TH Ave
102D
Columbus, OH 43212-2503

Mailing address

1200 W 5TH Ave
102D
Columbus, OH 43212-2503
Phone (614) 398-1927

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20130116000388 OH Practitioner - Clinical Social Worker 8426201757 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rutti Counseling & Consultation LLC CurrentSince Nov 29, 2016 Accepting new patients
Rutti Counseling & Consultation, LLC Current Accepting new patients

Locations

1200 W 5th Ave
Ste 102
Columbus, OH 43212
Phone (614) 398-1927

Organizations & group practices 2

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": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633737600000",
    "number": "1982812533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 W 5TH AVE",
            "address_2": "102D",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432122503",
            "telephone_number": "614-398-1927",
            "fax_number": "614-824-4271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 W 5TH AVE",
            "address_2": "102D",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432122503",
            "telephone_number": "614-398-1927",
            "fax_number": "614-824-4271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTTI",
        "first_name": "SUZANNE",
        "middle_name": "M",
        "credential": "MSW, LISW-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-18",
        "last_updated": "2021-10-09",
        "certification_date": "2021-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.0800234-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.