JENESSA LEE RUDELL (NPI# 1639728454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639728454 |
| Entity Type | Individual |
| Full Name | JENESSA LEE RUDELL |
| Credential | MSW, LSW |
| Practice Address |
114 Bristlecone Dr Fort Collins CO 80524-2031 |
| Mailing Address |
4856 Innovation Dr Ste B Fort Collins CO 80525-5540 |
| Practice Telephone | 9704944200 |
| Mailing Telephone | 9704944200 |
| Enumeration Date | 2019-09-04 |
| Last Update Date | 2019-09-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | LSW.0009922609 | CO | Behavioral Health & Social Service Providers |
| Street Address |
114 BRISTLECONE DR |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80524-2031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821105784 | Amy Kloberdanz | Counselor | 114 Bristlecone Dr, Fort Collins, CO 80524-2031 | 2006-08-24 |
| 1740881705 | Jacci Peterson | Case Manager/Care Coordinator | 114 Bristlecone Dr, Fort Collins, CO 80524-2031 | 2020-11-05 |
| 1386260701 | Nickole Kalinay | Counselor | 114 Bristlecone Dr, Fort Collins, CO 80524-2031 | 2020-06-22 |
| 1992326177 | Summitstone Health Partners | Clinic/Center | 114 Bristlecone Dr, Fort Collins, CO 80524-2031 | 2020-04-29 |
| 1184258881 | Rebecca Rusciolelli | Case Manager/Care Coordinator | 114 Bristlecone Dr, Fort Collins, CO 80524-2031 | 2020-03-03 |
| 1558993774 | Paige Lechtenberg | Social Worker | 114 Bristlecone Dr, Fort Collins, CO 80524-2031 | 2020-02-05 |
| 1588205975 | Kristi Nissen | Counselor | 114 Bristlecone Dr, Fort Collins, CO 80524 | 2019-10-07 |
| 1104474840 | Janee Valenzuela | Social Worker | 114 Bristlecone Dr, Fort Collins, CO 80524-2031 | 2019-08-27 |
| 1144877598 | Emily Rose Fleming | Case Manager/Care Coordinator | 114 Bristlecone Dr, Fort Collins, CO 80524-2031 | 2019-08-21 |
| 1316592389 | Joseph David Edelberg | Counselor | 114 Bristlecone Dr, Fort Collins, CO 80524-2031 | 2019-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669084612 | Summitstone Health Partners | Clinic/Center | 1008 Patton St., Fort Collins, CO 80524 | 2020-08-20 |
| 1396355244 | Kidstuff Child and Family Counseling, P.C. | Psychologist | 1006 Robertson St., Ste. 120, Fort Collins, CO 80524 | 2020-08-05 |
| 1215561857 | Transform The Nest LLC | Social Worker | 405 A Matthews Street, Fort Collins, CO 80524 | 2020-02-22 |
| 1326671413 | Laura Ann Doyle | Registered Nurse | 8775 County Road 80.5 # 5, Fort Collins, CO 80524 | 2020-02-17 |
| 1013496835 | Stepheny Nicol Chapple | Psychologist | 701 S College Drive, 201, Fort Collins, CO 80524 | 2018-08-13 |
| 1609372432 | Tracy Jo Close | Counselor | 1031 Robinson Street, Fort Collins, CO 80524 | 2018-04-02 |
| 1831617828 | Rachel Elizabeth Brenner | Counselor | 151 W Lake Rd, Csu Health Network Counseling Services, Fort Collins, CO 80524 | 2017-08-30 |
| 1205366820 | Victoria Marie Sechser | Specialist/Technologist | 1102 Peterson St, Fort Collins, MN 80524 | 2017-06-15 |
| 1013367705 | Smith Street LLC | Day Training, Developmentally Disabled Services | 308 Smith St., Fort Collins, CO 80524 | 2016-06-14 |
| 1811344989 | Ignite Speech-language Services | Clinic/Center | 3921 Celtic Lane, Fort Collins, CO 80524 | 2016-05-18 |
| Find all providers in zip 80524 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730722174 | Tricia Fadness | Social Worker | 706 S College Ave Ste 201, Fort Collins, CO 80524-9860 | 2019-10-17 |
| 1265097034 | Jessica Sandra Morneault | Social Worker | 503 Remington St Ste 201, Fort Collins, CO 80524-3089 | 2019-05-07 |
| 1063966562 | Catherine Hill | Social Worker | 4545 Wheaton Dr Unit F150, Fort Collins, CO 80525-7418 | 2016-08-12 |
| 1245637958 | Gregory Earl Ketchum | Social Worker | 806 Rumford Court, Fort Collins, CO 80525 | 2014-11-24 |
| 1932538972 | Jessica Miller | Social Worker | 123 Ayleswort Hall Nw, Fort Collins, CO 80521 | 2013-11-08 |
| 1255684692 | Kathleen Gladys Mckinney | Social Worker | 5131 S College Ave, Fort Collins, CO 80525-3968 | 2012-10-23 |
| 1376894303 | Cheryl Lynn Weill | Social Worker | 2169 Dolan St, Fort Collins, CO 80528-7092 | 2012-10-01 |
| 1336423110 | Tommilou Robinson Davis | Social Worker | 4103 Boardwalk Drive, Suite 202, Fort Collins, CO 80525-9899 | 2011-09-28 |
| 1588831044 | Sexual Assault Victim Advocacy Center | Social Worker | 4812 S College Ave, Fort Collins, CO 80525-3723 | 2008-05-14 |
| 1780879429 | Chelsea Wilson | Social Worker | 331 S Meldrum St, Fort Collins, CO 80521-2602 | 2007-09-06 |
| Find all providers in FORT COLLINS | ||||
| City | FORT COLLINS |
| Zip Code | 80524 |
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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.