Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Stacey Jenee Rutherford, LICSW

Individual provider Clinical Social Worker · NPI 1528168135

Mrs. Stacey Jenee Rutherford, LICSW is a Clinical Social Worker in Worcester, Massachusetts. Qualified in 1997, 29 years ago. Practices with Behavioral Healthcare Services, a 26-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
29
Licensed in
MA
In the registry since
2006
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

435 Shrewsbury St
Worcester, MA 01604-1638
Phone: (508) 577-2017
Fax: (508) 752-7245
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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 110648 (MA)

Record details

NPI number1528168135
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedSeptember 24, 2006
Last updated in NPPESApril 4, 2018

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Behavioral Healthcare Services — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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