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Ann M Rudolph, L-CSW-R
Clinical Social Worker in Port Jefferson, New York
NPI 1417013723

Ann M Rudolph is a Clinical Social Worker based in Port Jefferson, NY and is specialized in Clinical. Ann M Rudolph practices in Port Jefferson, NY and has the professional credentials of L-CSW-R. The NPI Number for Ann M Rudolph is 1417013723 and holds a License No. R037202-1 (New York).

The current practice location address for Ann M Rudolph is 1000 Main St, Port Jefferson, NY and can be reached out via phone at 631-331-4458.

Location: 1000 Main St, Port Jefferson, NY, 11777-2250
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417013723
Provider Name
Ann M Rudolph
Credential
L-CSW-R
Provider Entity Type
Individual
Gender
Female
Address
1000 Main St, Port Jefferson, NY, 11777-2250
Phone Number
631-331-4458
Fax Number
Provider Enumeration Date
12/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5169741 01 NY AETNA
P1626359 01 NY OXFORD
071480 01 NY VALUE OPTIONS
7404242 01 NY GHI
13690 01 NY VYTRA
institution
Provider Business Practice Location Address Details
Address
1000 Main St
City
Port Jefferson
State
New York
Zip
11777-2250
Phone Number
631-331-4458
Fax Number
person
Provider Business Mailing Address Details
Address
1000 Main St
City
Port Jefferson
State
New York
Zip
11777-2250
Phone Number
631-331-4458
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
R037202-1 (New York)
Definition
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.
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