Carlice Ruttan, LCSW
NPI 1740540129 · Clinical Social Worker · Watertown, NY
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Carlice Ruttan, LCSW is a Clinical Social Worker provider in Watertown, NY (NPI 1740540129).
Provider details
- NPI number
- 1740540129
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- No
- License
- 079048-1 (NY)
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
14 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
- 2012-05-21
- Last updated
- 2012-05-21
Frequently asked questions
- What is Carlice Ruttan's NPI number?
- Carlice Ruttan's National Provider Identifier (NPI) is 1740540129, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Carlice Ruttan's specialty?
- Carlice Ruttan is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Carlice Ruttan located?
- Carlice Ruttan's practice location on file with NPPES is 165 Coleman Ave, Watertown, NY 13601-2217.
- What is Carlice Ruttan's phone number?
- The practice phone number listed in the NPPES registry for Carlice Ruttan is (315) 782-2061.
- Does Carlice Ruttan accept Medicare?
- Carlice Ruttan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Carlice Ruttan's NPI active?
- Yes — Carlice Ruttan's NPI (1740540129) is active in the NPPES registry as of the last update on 2012-05-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.