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

Stacy Rutt, LICSW

Individual provider Clinical Social Worker · NPI 1164238416

Stacy Rutt, LICSW is a Clinical Social Worker in Saint Peter, Minnesota. Licensed in Minnesota. Registered with an NPI since 2024.

Licensed in
MN
In the registry since
2024
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

100 Freeman Dr
Saint Peter, MN 56082-3504
Phone: (507) 985-2902
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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 19517 (MN)

Record details

NPI number1164238416
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedDecember 10, 2024
Last updated in NPPESDecember 10, 2024
Certification dateDecember 10, 2024
Mailing address100 Freeman Dr, Saint Peter, MN 56082-3504

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