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

Ryan Rutkowski

Individual provider Clinical Social Worker · NPI 1053800979

Ryan Rutkowski is a Clinical Social Worker in Cocoa, Florida. Licensed in Florida and Michigan. Registered with an NPI since 2018.

Licensed in
FL, MI
In the registry since
2018
Specialties on file
5

Practice location Address checks out

505 Brevard Ave
Cocoa, FL 32922-7973
Phone: (579) 232-1632
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence SW20818 (FL)
Clinical Social Worker Taxonomy 1041C0700X · Licence 6801106905 (MI)
Clinical Social Worker Taxonomy 1041C0700X · Licence 6851106905 (MI)
Clinical Social Worker Taxonomy 1041C0700X · Licence 6801114905 (MI)
Clinical Social Worker Taxonomy 1041C0700X · Licence SW20818 (FL)

Record details

NPI number1053800979
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 7, 2018
Last updated in NPPESSeptember 2, 2025
Certification dateSeptember 2, 2025
Mailing address505 Brevard Ave, Cocoa, FL 32922-7973

Other providers in Cocoa