Active NPIIndividual providerSole proprietor

Ms. Andrea S Rudolph, LCSW

Social Worker, Clinical in Ridgewood, New Jersey

NPI Number1881880607
Practice location
88 W Ridgewood Ave, Ridgewood, NJ 07450-3199
Fax
973-956-9399
Last updated
September 16, 2007

Andrea Sherry Rudolph is a Social Worker, Clinical based in Ridgewood, NJ. Andrea Sherry Rudolph practices in Ridgewood, NJ and has the professional credentials of LCSW. The NPI Number for Andrea Sherry Rudolph is 1881880607 and holds a License No. 44SC04550600 (NJ). The current practice location address for Andrea Sherry Rudolph is 88 W Ridgewood Ave, Ridgewood, NJ 07450-3199 and can be reached out via phone at 973-956-9889 and via fax at 973-956-9399.

Provider Profile Details

NPI Number
1881880607
Provider Name
Andrea Sherry Rudolph
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
88 W Ridgewood Ave, Ridgewood, NJ 07450-3199
Phone Number
973-956-9889
Fax Number
973-956-9399
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
September 16, 2007
Last Update Date
September 16, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
88 W Ridgewood Ave
Ridgewood, NJ 07450-3199
Zip
07450-3199
Phone Number
973-956-9889
Fax Number
973-956-9399
Ridgewood, NJ 07450Get directions →

Provider Business Mailing Address Details

Address
88 W Ridgewood Ave
Ridgewood, NJ 07450-3199
City
Ridgewood
State
NJ
Zip
07450-3199
Phone Number
973-956-9889
Fax Number
973-956-9399

License Information

License Number
44SC04550600
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.

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Frequently Asked Questions

What is the NPI number of Ms. Andrea S Rudolph, LCSW?

The NPI number of Ms. Andrea S Rudolph, LCSW is 1881880607. It was assigned on September 16, 2007 and is currently active in the NPPES registry.

What is the specialty of Ms. Andrea S Rudolph, LCSW?

Ms. Andrea S Rudolph, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SC04550600.

Where does Ms. Andrea S Rudolph, LCSW practice?

The practice location is 88 W Ridgewood Ave, Ridgewood, NJ 07450-3199. The office can be reached at 973-956-9889 (phone) or 973-956-9399 (fax).

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 1881880607 directly on the NPPES registry website.

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