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

MS. Lisa Joy Rutman, MSW, LICSW

Individual provider Clinical Social Worker · NPI 1194334318

MS. Lisa Joy Rutman, MSW, LICSW is a Clinical Social Worker in Eagan, Minnesota. Qualified in 1995, 31 years ago. Practices with Eagan Counseling Clinic, a 62-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
31
Licensed in
MN
In the registry since
2020
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
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

3450 Oleary Ln
Eagan, MN 55123-2340
Phone: (651) 454-0114
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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 11729 (MN)

Record details

NPI number1194334318
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LICSW
Sole proprietorNo
NPI enumeratedJuly 23, 2020
Last updated in NPPESJuly 23, 2020
Certification dateJuly 23, 2020

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice Eagan Counseling Clinic — 62 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Eagan