Individual
BRANDI CELESTE RUTAN
Active
Individual
BRANDI CELESTE RUTAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
11720
SC
104100000X
Social Worker
C009934
NC
1041C0700X
Clinical Social Worker
C009934
NC
1041C0700X
Clinical Social Worker
Primary
CSW005851
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11720
LICENSED INDEPENDENT SOCIAL WORKER
SC
01
—
C009934
LICENSED CLINICAL SOCIAL WORKER
NC
01
—
CSW005851
LICENSED CLINICAL SOCIAL WORKER
GA
Enumeration date
03/14/2007
Last updated
05/06/2026
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