Mrs. Phaedra Ruddock-Dunn, LSW
Social Worker in Short Hills, New Jersey
1194248096- Practice location
- 748 Morris Tpke Ste 210, Short Hills, NJ 07078-2617
- Phone
- 646-458-1049
- Fax
- —
- Last updated
- July 23, 2017
Phaedra Ruddock-Dunn is a Social Worker based in Short Hills, NJ. Phaedra Ruddock-Dunn practices in Short Hills, NJ and has the professional credentials of LSW. The NPI Number for Phaedra Ruddock-Dunn is 1194248096 and holds a License No. 44SL06030800 (NJ). The current practice location address for Phaedra Ruddock-Dunn is 748 Morris Tpke Ste 210, Short Hills, NJ 07078-2617 and can be reached out via phone at 646-458-1049.
Provider Profile Details
- NPI Number
- 1194248096
- Provider Name
- Phaedra Ruddock-Dunn
- Credential
- LSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 748 Morris Tpke Ste 210, Short Hills, NJ 07078-2617
- Phone Number
- 646-458-1049
- Primary Taxonomy
- Social Worker · 104100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 23, 2017
- Last Update Date
- July 23, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 748 Morris Tpke Ste 210
Short Hills, NJ 07078-2617 - City
- Short Hills
- State
- New Jersey
- Zip
- 07078-2617
- Phone Number
- 646-458-1049
Provider Business Mailing Address Details
- Address
- 17 Lackawanna Pl Apt 219
Bloomfield, NJ 07003-2956 - City
- Bloomfield
- State
- NJ
- Zip
- 07003-2956
License Information
- License Number
- 44SL06030800
- License State
- NJ
- Taxonomy
- Social Worker · 104100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mrs. Phaedra Ruddock-Dunn, LSW?
The NPI number of Mrs. Phaedra Ruddock-Dunn, LSW is 1194248096. It was assigned on July 23, 2017 and is currently active in the NPPES registry.
What is the specialty of Mrs. Phaedra Ruddock-Dunn, LSW?
Mrs. Phaedra Ruddock-Dunn, LSW is registered under the primary taxonomy Social Worker (code 104100000X), licensed in NJ under license number 44SL06030800.
Where does Mrs. Phaedra Ruddock-Dunn, LSW practice?
The practice location is 748 Morris Tpke Ste 210, Short Hills, NJ 07078-2617. The office can be reached at 646-458-1049 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1194248096 directly on the NPPES registry website.