DUSTIN RUTTENBERG LICSW
NPI 1467240879
Social Worker - Clinical in Seattle, WA

Q: What is Dustin Ruttenberg's NPI number?

The NPI number for Dustin Ruttenberg is 1467240879. It was assigned to this individual provider in the NPPES registry on April 26, 2025.

Q: What is Dustin Ruttenberg's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Dustin Ruttenberg was last updated on May 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.

Active since April 26, 2025PECOS Enrolled

1930 POST ALY, SEATTLE, WA 98101(206) 728-4143(206) 956-1018 Get Directions Write a Review

NPPES record last updated: May 12, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 12, 2026, Apr 14, 2026, Sep 12, 2025 and 2 more (5 updates tracked since 2025).

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About Dustin Ruttenberg Licsw NPPES

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

DUSTIN RUTTENBERG LICSW (NPI 1467240879) is an individual clinical provider in Seattle, Washington, licensed in Washington (LW61363001) and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1467240879

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameDUSTIN RUTTENBERGCredential: LICSW

Location Address1930 POST ALYSeattle, WA 98101-1074

Mailing Address1200 12th Ave S Ste 901Seattle, WA 98144-2712

Phone(206) 728-4143

Fax(206) 956-1018

Sole ProprietorYes

Medical School CMSOtherGraduated 2015

Enumeration DateApril 26, 2025

Last NPPES UpdateMay 12, 20265 updates tracked since enumeration

NPPES CertifiedMay 12, 2026

✔ NPI 1467240879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in WA · LW61363001

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.

Also ListedSocial WorkerTaxonomy 104100000X · License LW61363001 (WA)

1930 POST ALY, Seattle, WA 98101

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Secondary Practice Locations 2

Location 1700 Minor AveSeattle, WA 98104-2146 · Phone (312) 846-0655

Location 2747 BroadwaySeattle, WA 98122-4379 · Phone (206) 386-2202 · Fax (206) 386-6612

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dustin Ruttenberg Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2668984220

PECOS Enrollment IDI20250620001448

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98101 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $63.67 – $189.37

Typical copayment $0.00 (range $15.91 – $47.34)

Most-billed visit code NA

Established Patient

$78.74 typical visit price

range $21.12 – $155.00

Typical copayment $19.68 (range $5.28 – $38.75)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

SHANNON RAE HAAN LICSW

Social Worker (Clinical)