Active NPIIndividual providerSole proprietor

Amanda Frudakis-Ruckel, LCSW

Social Worker, Clinical in Long Valley, New Jersey

NPI Number1700412053
Practice location
15 Wehrli RD, Long Valley, NJ 07853-3418
Fax
—
Last updated
October 9, 2024

Amanda Frudakis-Ruckel is a Social Worker, Clinical based in Long Valley, NJ. Amanda Frudakis-Ruckel practices in Long Valley, NJ and has the professional credentials of LCSW. The NPI Number for Amanda Frudakis-Ruckel is 1700412053 and holds a License No. 44SC05919200 (NJ). The current practice location address for Amanda Frudakis-Ruckel is 15 Wehrli RD, Long Valley, NJ 07853-3418 and can be reached out via phone at 631-764-9261.

Provider Profile Details

NPI Number
1700412053
Provider Name
Amanda Frudakis-Ruckel
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
15 Wehrli RD, Long Valley, NJ 07853-3418
Phone Number
631-764-9261
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
March 18, 2020
Last Update Date
October 9, 2024
Certification Date
October 9, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
15 Wehrli RD
Long Valley, NJ 07853-3418
Zip
07853-3418
Phone Number
631-764-9261
Long Valley, NJ 07853Get directions →

Provider Business Mailing Address Details

Address
15 Wehrli RD
Long Valley, NJ 07853-3418
City
Long Valley
State
NJ
Zip
07853-3418
Phone Number
631-764-9261

License Information

License Number
44SC05919200
License State
NJ
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Social Worker, Clinical providers near Long Valley, NJ

View all Social Worker, Clinical providers in Long Valley →

Frequently Asked Questions

What is the NPI number of Amanda Frudakis-Ruckel, LCSW?

The NPI number of Amanda Frudakis-Ruckel, LCSW is 1700412053. It was assigned on March 18, 2020 and is currently active in the NPPES registry.

What is the specialty of Amanda Frudakis-Ruckel, LCSW?

Amanda Frudakis-Ruckel, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SC05919200.

Where does Amanda Frudakis-Ruckel, LCSW practice?

The practice location is 15 Wehrli RD, Long Valley, NJ 07853-3418. The office can be reached at 631-764-9261 (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 1700412053 directly on the NPPES registry website.

Browse related providers