MS. MARINA RENEE RUTKOWSKI (NPI# 1326261645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326261645 |
| Entity Type | Individual |
| Full Name | MS. MARINA RENEE RUTKOWSKI |
| Other Name | MS. MARINA RENEE DANTZLER |
| Credential | LCSW |
| Practice Address |
11285 Elkins Rd Suite D3 Roswell GA 30076-1259 |
| Practice Telephone | 4702149918 |
| Mailing Telephone | 4702149918 |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2013-03-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | ASW 20571 | CA | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
CSW004620 | GA | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
CW016449 | PA | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
149013295 | IL | Behavioral Health & Social Service Providers |
| Street Address |
11285 ELKINS RD SUITE D3 |
| City | ROSWELL |
| State | GA |
| Zip Code | 30076-1259 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124008925 | Casey P. Calvert | Counselor | 11285 Elkins Rd, D-3, Roswell, GA 30076-1259 | 2006-01-18 |
| 1457909517 | Lindsay Wynett | Speech-Language Pathologist | 11285 Elkins Rd, Roswell, GA 30076-1259 | 2019-08-30 |
| 1134406549 | Deborah Lynch Cagle | Counselor | 11285 Elkins Rd, Suite D3, Roswell, GA 30076-1259 | 2011-11-14 |
| 1588836852 | Suzanne Clark | Counselor | 11285 Elkins Rd, D-4, Roswell, GA 30076-1259 | 2008-03-27 |
| 1558568576 | Kathleen D Michaud | Marriage & Family Therapist | 11285 Elkins Rd, D-4, Roswell, GA 30076-1259 | 2007-07-02 |
| 1780880690 | Annalisa Derenthal | Counselor | 11285 Elkins Rd, D-4, Roswell, GA 30076-1259 | 2007-06-26 |
| 1457493991 | Susan Bruder Mattson | Psychologist | 11285 Elkins Rd, Ste D4, Roswell, GA 30076 | 2007-02-13 |
| 1699813055 | Michael R Pitts | Psychologist | 11285 Elkins Rd, Suite D3, Roswell, GA 30076-1259 | 2007-02-01 |
| 1104999713 | Aleta Janine Braykovich | Social Worker | 11285 Elkins Rd, Suite D-4, Roswell, GA 30076-1259 | 2006-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275505 | Apex Spine and Neurosurgery LLC | Neurological Surgery | 1295 Hembree Rd Ste 200 Bldg B, Roswell, GA 30076 | 2020-11-06 |
| 1841776689 | Scott Gunter Brunson | Hearing Instrument Specialist | 777 Old Roswell Pl # E100, Roswell, GA 30076 | 2018-07-16 |
| 1861998197 | Daniel B Charek | Clinical Neuropsychologist | 11685 Alpharetta Hwy Ste 170, Roswell, GA 30076 | 2018-04-04 |
| 1427575554 | A One Home Care, Inc. | In Home Supportive Care | 1875 Old Alabama Road, Suite 420, Roswell, GA 30076 | 2017-08-29 |
| 1053836023 | Madelon Morgan | Counselor | 555 Sun Valley Dr Bldg F, Roswell, GA 30076 | 2017-08-10 |
| 1245769637 | Family Behavioral Health, LLC | Clinic/Center | 9275 Martin Rd, Roswell, GA 30076 | 2017-06-08 |
| 1093163750 | Ryann Soutar | Counselor | 702 Macy Dr, Roswell, GA 30076 | 2016-06-02 |
| 1447618707 | Concierge Medical Mgmt Group | Contractor | 760 Old Roswell Rd Ste 117, Roswell, GA 30076 | 2016-02-02 |
| 1063877710 | Augustine Young | Community/Behavioral Health | 427 Royal Creek Dr, Roswell, GA 30076 | 2015-12-23 |
| 1710360441 | Currents Massage LLC | Massage Therapist | 760 Old Roswell Road, Suite 230, Roswell, GA 30076 | 2015-06-30 |
| Find all providers in zip 30076 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306456140 | Jarbriel Bryant | Social Worker | 5113 Calibre Creek Pkwy, Roswell, GA 30076-4563 | 2020-08-06 |
| 1558872200 | Beda Roberts | Social Worker | 800 Old Roswell Lakes Pkwy Ste 200, Roswell, GA 30076-1667 | 2017-10-21 |
| 1275058711 | Jessica Perez | Social Worker | 10929 Crabapple Rd Ste 203c, Roswell, GA 30075-7657 | 2017-08-05 |
| 1508389669 | Diane Sitkowski | Social Worker | 814 Mimosa Blvd Bldg C, Roswell, GA 30075-4410 | 2017-07-20 |
| 1801342332 | Kim Phillips | Social Worker | 2005 Churchill Ln, Roswell, GA 30075-5613 | 2016-08-25 |
| 1720531767 | Arbor Cove Therapy LLC | Social Worker | 981 Canton St, Suite 200-e, Roswell, GA 30075 | 2016-07-26 |
| 1629439393 | Maribeth Nolan | Social Worker | 355 Meadowood Dr, Roswell, GA 30075-4504 | 2016-03-09 |
| 1205297090 | Cathleen Hulbert | Social Worker | 4085 Crabapple Lake Ct, Roswell, GA 30076-4253 | 2016-03-08 |
| 1760803316 | Jessica Zielske | Social Worker | 300 Colonial Center Parkway, Ste 100n, Roswell, GA 30076 | 2013-12-30 |
| 1831528967 | Marissa Ezell | Social Worker | 11285 Elkins Rd Unit K1, Roswell, GA 30076-1259 | 2013-11-08 |
| Find all providers in ROSWELL | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.