Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Rutubula Pettaway, LCSW

Individual provider Clinical Social Worker · NPI 1588290670

Mrs. Rutubula Pettaway, LCSW is a Clinical Social Worker in Atlanta, Georgia. Graduated from Florida State University College of Medicine in 2014, 12 years ago. Practices with Medcura Health, Inc, a 15-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
12
Trained at
Florida State University College of Medicine
Licensed in
GA
In the registry since
2020
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

1046 Ridge Ave SW
Atlanta, GA 30315-1640
Phone: (404) 564-6942
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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 CSW006936 (GA)

Record details

NPI number1588290670
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMarch 20, 2020
Last updated in NPPESMarch 20, 2020
Certification dateMarch 20, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolFLORIDA STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice Medcura Health, Inc — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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