JERRY PAGE RUTLEDGE LCSW
NPI 1245594977
Social Worker - Clinical in Wilmington, NC

Active since June 27, 2012Opted out of Medicare · through Oct 1, 2027
2222 S 17TH ST, WILMINGTON, NC 28401(910) 343-8209(910) 343-8836 Get Directions Write a Review

NPPES record last updated: September 1, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jerry Page Rutledge Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JERRY PAGE RUTLEDGE LCSW (NPI 1245594977) is an individual clinical provider in Wilmington, North Carolina, licensed in North Carolina (C009094) and active in the NPI registry since June 2012. She has opted out of Medicare through October 1, 2027.

NPPES Registry Identity

NPI1245594977
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJERRY PAGE RUTLEDGECredential: LCSW
Location Address2222 S 17TH STWilmington, NC 28401-7515
Mailing Address915 Carolina Sands DrCarolina Beach, NC 28428-4618 · (910) 262-2355 · Fax (910) 262-2355
Fax(910) 343-8836
Sole ProprietorYes
Enumeration DateJune 27, 2012
Last NPPES UpdateSeptember 1, 2014
NPI 1245594977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in NC · C009094
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
2222 S 17TH ST, Wilmington, NC 28401

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Jerry Page Rutledge Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2023 through October 1, 2027.

Opt-Out Effective DateOctober 1, 2023
Opt-Out In Effect ThroughOctober 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse
2222 S 17TH ST
WILMINGTON, NC 28401
Occupational Therapist
2222 S 17TH ST
WILMINGTON, NC 28401
Clinical Nurse Specialist (Medical-Surgical)
2222 S 17TH ST
WILMINGTON, NC 28401
Speech-Language Pathologist
2222 S 17TH ST
WILMINGTON, NC 28401
Registered Nurse
2222 S 17TH ST
WILMINGTON, NC 28401
Physical Therapist
2222 S 17TH ST
WILMINGTON, NC 28401
Dietitian, Registered
2222 S 17TH ST
WILMINGTON, NC 28401
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
2222 S 17TH ST
WILMINGTON, NC 28401

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerry Rutledge's NPI number?

The NPI number for Jerry Rutledge is 1245594977. It was assigned to this individual provider in the NPPES registry on June 27, 2012.

Where is Jerry Rutledge located?

Jerry Rutledge practices at 2222 S 17th St, Wilmington, NC 28401. The listed phone number is (910) 343-8209.

What is Jerry Rutledge's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Jerry Rutledge enrolled in Medicare?

No. Jerry Rutledge has opted out of Medicare through October 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Jerry Rutledge accept?

Health plans from Blue Cross and Blue Shield of NC list Jerry Rutledge as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jerry Rutledge was last updated on September 1, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.