Individual provider · Type 1 NPI

Shelly Rucker, LCSW

Clinical Social Worker · Roseville, CA

NPI number 1295315588 Active

Practice location

1380 Lead Hill Blvd Ste 145
Roseville, CA 95661-2998

Call (916) 299-7089 Map

Mailing address

PO Box 111
Rocklin, CA 95677-0111

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X4011 (HI)
Clinical Social Worker 1041C0700XLCSW91420 (CA)
Clinical Social Worker Primary 1041C0700X91420 (CA)

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 1295315588

Shelly Rucker, LCSW's National Provider Identifier is 1295315588, issued on Apr 10, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Roseville, CA. The record was last updated on Mar 13, 2026.