Provider Profile

Rutubula Pettaway, LCSW

Unclaimed Profile

About Rutubula Pettaway

Rutubula Pettaway, LCSW is a clinical social worker based in Atlanta, GA. Rutubula is a 2014 graduate of Florida State University College of Medicine. The provider's National Provider Identifier (NPI) is 1588290670.

Factual summary compiled by Guide.md from public records; not written by this provider.

Specialty

Credentials & Licensing

GA licenceAs reported to the NPI registry
No. CSW006936As reported
NPINational Provider Identifier
1588290670Issued 2020

As reported to the NPI registry ↗

Medicare information

Accepts Medicare assignmentYes
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What does Rutubula Pettaway specialize in?

Rutubula Pettaway is a clinical social worker in Atlanta, GA. That is the designation recorded for this NPI in the federal registry.

NPI registry

Where is Rutubula Pettaway located?

Rutubula Pettaway is listed at 1046 Ridge Ave Sw, Atlanta, GA 30315. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Rutubula Pettaway's phone number?

The number on file is (404) 564-6942. Contact the office directly to confirm availability and scheduling.

NPI registry

What is Rutubula Pettaway's NPI number?

Rutubula Pettaway's National Provider Identifier is 1588290670. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Where did Rutubula Pettaway train?

Rutubula Pettaway attended Florida State University College of Medicine, graduating in 2014. This comes from the CMS National Downloadable File.

CMS public data

How long has Rutubula Pettaway been practicing?

Rutubula Pettaway has 12 years experience. Calculated from a graduation year of 2014, reported in the CMS National Downloadable File.

CMS public data

Has Rutubula Pettaway confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Rutubula Pettaway. If this is you, claiming it is free.

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