Rutubula Pettaway, LCSW
NPI 1588290670 · Clinical Social Worker · Atlanta, GA
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Rutubula Pettaway, LCSW is a Clinical Social Worker provider in Atlanta, GA (NPI 1588290670).
Provider details
- NPI number
- 1588290670
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- License
- CSW006936 (GA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-03-20
- Last updated
- 2020-03-20
- Certified
- 2020-03-20
Frequently asked questions
- What is Rutubula Pettaway's NPI number?
- Rutubula Pettaway's National Provider Identifier (NPI) is 1588290670, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Rutubula Pettaway's specialty?
- Rutubula Pettaway is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Rutubula Pettaway located?
- Rutubula Pettaway's practice location on file with NPPES is 1046 Ridge Ave Sw, Atlanta, GA 30315-1640.
- What is Rutubula Pettaway's phone number?
- The practice phone number listed in the NPPES registry for Rutubula Pettaway is (404) 564-6942.
- Does Rutubula Pettaway accept Medicare?
- Rutubula Pettaway is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Rutubula Pettaway's NPI active?
- Yes — Rutubula Pettaway's NPI (1588290670) is active in the NPPES registry as of the last update on 2020-03-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.