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

Individual provider Clinical Social Worker · NPI 1295315588

Mrs. Shelly Rucker, LCSW is a Clinical Social Worker in Roseville, California. Practices as a sole proprietor. Licensed in California and Hawaii.

Licensed in
CA, HI
In the registry since
2021
Specialties on file
3
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

1380 Lead Hill Blvd Ste 145
Roseville, CA 95661-2998
Phone: (916) 299-7089
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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 91420 (CA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 4011 (HI)
Clinical Social Worker Taxonomy 1041C0700X · Licence LCSW91420 (CA)

Record details

NPI number1295315588
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedApril 10, 2021
Last updated in NPPESMarch 13, 2026
Certification dateMarch 13, 2026

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