Individual provider · Type 1 NPI

Jerry Page Rutledge, LCSW

Clinical Social Worker · Wilmington, NC

NPI number 1245594977 Active

Practice location

2222 S 17th St
Wilmington, NC 28401-7515

Call (910) 343-8209 Map

Fax (910) 343-8836

Mailing address

915 Carolina Sands Dr
Carolina Beach, NC 28428-4618

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XC009094 (NC)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1245594977

Jerry Page Rutledge, LCSW's National Provider Identifier is 1245594977, issued on Jun 27, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Wilmington, NC. The record was last updated on Sep 1, 2014.