Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Kelly Sullivan Ruta, LCSW

Individual provider Clinical Social Worker · NPI 1366583346

Mrs. Kelly Sullivan Ruta, LCSW is a Clinical Social Worker in Wake Forest, North Carolina. Licensed in North Carolina and New Jersey. Registered with an NPI since 2007.

Licensed in
NC, NJ
In the registry since
2007
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

833 Wake Forest Business Park Ste D
Wake Forest, NC 27587-6523
Phone: (919) 435-1347
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence C006374 (NC)
Clinical Social Worker Taxonomy 1041C0700X · Licence 44SC05171400 (NJ)

Record details

NPI number1366583346
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedFebruary 10, 2007
Last updated in NPPESJanuary 22, 2013

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