Rutubula Pettaway, LCSW
Clinical Social Worker · Atlanta, GA
Rutubula Pettaway, LCSW is a clinical social worker with a practice address in Atlanta, Georgia, and NPI 1588290670, issued on Mar 20, 2020. Check the license (Georgia CSW006936, as entered in NPPES) with the Georgia board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Rutubula Pettaway
- Credential
- LCSW
- Primary taxonomy
- Clinical Social Worker 1041C0700X
- License number
- CSW006936 GA
Self-reported in NPPES; status is on the state search - Practice location
- 1046 Ridge Ave SW, Atlanta, GA 30315
- Phone
- (404) 564-6942
- Enumerated
- Mar 20, 2020
- Record last updated
- Mar 20, 2020 (not updated in 6 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20250130001404); accepts Medicare assignment
- Medical or professional school
- Florida State University College Of Medicine, 2014
- Entity
- Type 1 · individual
8 nearest clinical social worker records → All 4,911 in Georgia → Look up another NPI →
Also registered at 1046 Ridge Ave SW
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Willie Adams, PA-CPhysician Assistant1194971242
- Patrick Antoine, M.D.Internal Medicine Physician1427022904
- Nicole Ash-Mapp, MDFamily Medicine Physician1497726822
- Merrill Berman, M.D.Diagnostic Radiology Physician1720072226
- Afua Boaten, MDFamily Medicine Physician1972597656
- Dena Boykin, RDHDental Hygienist1730680992
Verify Rutubula Pettaway in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Georgia board licenses this profession
Search for license CSW006936Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Medcura Health, IncStone Mountain, GA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Rutubula Pettaway among 4,911 clinical social worker records in Georgia
Rutubula Pettaway, LCSW is one of 4,911 clinical social worker records with a practice address in Georgia. 10% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2020, is newer than 65% of them.
- NPI issued2020 · 65% of these records are older, 30% newer
- In a Medicare fileYes · 10% of these records are
- In the CMS Doctors and Clinicians fileYes · 17% of these records are
- Graduated2014 · median 2008 among the 854 with a school on file
- Record last updated2020 · 52% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 1041C0700X and a Georgia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
888 clinical social worker records list a practice address in Atlanta
They are 888 of the 31,476 NPPES records with a practice address in Atlanta, and 4,911 clinical social worker records in Georgia.
All 4,911 in Georgia → Every provider in Atlanta → Clinical Social Worker nationwide →
The 8 clinical social worker records with the nearest ZIP codes
- Deshanae BenjaminAtlanta, GA 303151477215085
- Joniqua Dorsey, LCSWAtlanta, GA 303151902694847
- Aleza Horowitz, LCSWAtlanta, GA 303151255253456
- Arthur Krasilovsky, MSSA, LCSW, CEAPAtlanta, GA 303151760601124
- Emily Loeb, LCSWAtlanta, GA 303151679042923
- Eric Lohman, LCSWAtlanta, GA 303151144665415
- Erica MaurerAtlanta, GA 303151467091413
- Emily McIver-Beadles, LCSWAtlanta, GA 303151629444567
Common questions
What is Rutubula Pettaway, LCSW's NPI number?
Rutubula Pettaway, LCSW's National Provider Identifier (NPI) is 1588290670, issued on Mar 20, 2020. An NPI identifies a provider in billing; it is not a license.
Where is Rutubula Pettaway, LCSW located?
The NPPES record lists a practice address at 1046 Ridge Ave SW, Atlanta, GA, 30315. Phone: (404) 564-6942. Providers update this record themselves, so call before visiting.
How can I verify Rutubula Pettaway, LCSW's license?
NPPES lists Georgia license number CSW006936, as entered by the provider. Search the Georgia board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.