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

Tina Jordan Rutherford, LICSW

Individual provider Clinical Social Worker · NPI 1194087221

Tina Jordan Rutherford, LICSW is a Clinical Social Worker in Rockville, Maryland. Licensed in District of Columbia. Registered with an NPI since 2012.

Licensed in
DC
In the registry since
2012
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

1451 Rockville Pike
Rockville, MD 20852-1486
Phone: (240) 472-7733
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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 LC50079316 (DC)

Record details

NPI number1194087221
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedJune 14, 2012
Last updated in NPPESApril 28, 2023
Certification dateApril 28, 2023

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