MS. ANDREA SHERRY RUDOLPH


Address: 88 W Ridgewood Ave, Ridgewood, NJ 07450-3199
Phone: 9739569889

MS. ANDREA SHERRY RUDOLPH (NPI# 1881880607) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1881880607
Entity Type Individual
Full Name MS. ANDREA SHERRY RUDOLPH
Credential LCSW
Practice Address 88 W Ridgewood Ave
Ridgewood
NJ 07450-3199
Practice Telephone 9739569889
Practice Fax Number 9739569399
Mailing Telephone 9739569889
Mailing Fax Number 9739569399
Enumeration Date 2007-09-16
Last Update Date 2007-09-16
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
44SC04550600 NJ Behavioral Health & Social Service Providers

Other Providers ANDREA RUDOLPH

NPI Name Taxonomy Address Enumeration
1114488004 Andrea Rudolph Home Health Aide 1440 Gordon Rd, Lyndhurst, OH 44124-1341 2019-03-25
1912308933 Andrea Schreibman Rudolph Social Worker 60 Katona Dr Ste 19, Fairfield, CT 06824-3544 2014-09-09
1811109986 Andrea Christine Rudolph Nurse Practitioner 100 Ucla Medical Plz, Suite 760, Los Angeles, CA 90095-0001 2007-05-03

Office Location

Street Address 88 W RIDGEWOOD AVE
City RIDGEWOOD
State NJ
Zip Code 07450-3199

Providers in the same location

NPI Name Taxonomy Address Enumeration
1730196312 Paul Andrew Barabas Dentist 88 W Ridgewood Ave, Ridgewood, NJ 07450-3199 2006-08-03
1083271001 Suzanne Goodwin Psychoanalyst 88 W Ridgewood Ave, Ridgewood, NJ 07450-3199 2019-05-24
1528541208 Osteopathic Wellness of New Jersey, LLC Clinic/Center 88 W Ridgewood Ave, Ridgewood, NJ 07450-3199 2018-09-10
1235497744 Richard Gaines, Ph.d., LLC Psychologist 88 W Ridgewood Ave, Ridgewood, NJ 07450-3199 2012-05-03
1689945198 Joshua Austein Dentist 88 W Ridgewood Ave, Ridgewood, NJ 07450-3199 2012-01-16
1760707939 Patricia Anne Piotrowski Social Worker 88 W Ridgewood Ave, Ridgewood, NJ 07450-3199 2010-03-31
1700026085 Daniel Charles Barabas Dentist 88 W Ridgewood Ave, Ridgewood, NJ 07450-3199 2009-02-26
1467691709 Yumie Nishida Burden Neuromusculoskeletal Medicine & OMM 88 W Ridgewood Ave, Ridgewood, NJ 07450-3199 2009-02-10
1578739322 Sharon V Marigliani Psychologist 88 W Ridgewood Ave, Ridgewood, NJ 07450-3199 2008-05-01
1306016761 Jeffrey S Hugues Social Worker 88 W Ridgewood Ave, Ridgewood, NJ 07450-3199 2008-03-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1023675857 Children's Aid and Family Services, Inc. Behavioral Analyst 213 Larue Road, W. Milford, NJ 07450 2019-05-28
1962065979 Corey Chan Student in an Organized Health Care Education/Training Program 550 Lynn St, Ridgewood, NJ 07450 2019-04-16
1679058200 Raymond Hawash Pharmacist 223 North Van Dien Ave, Ridgewood, NJ 07450 2018-09-28
1548771967 Leonard Swerdlof Dentist 160 S Broad St, Ridgewood, NJ 07450 2017-10-12
1336671114 Camp Sunshine and Camp Snowflake, Inc. Respite Care 1133 East Ridgewood Avenue, Ridgewood, NJ 07450 2017-03-30
1952764862 Elysium Aesthetics and Vein Care, Inc Radiology 400 State Route 17, Ridgewood, NJ 07450 2016-03-30
1780077362 Paul Walter Dasher Psychologist 76 West Ridgewood Avenue, Ridgewood, NJ 07450 2015-03-06
1255750071 Myron Frank Lesh Pharmacist 305 E. Ridgewood Ave., Ridgewood, NJ 07450 2014-04-09
1649612912 Jane Worthman-leva Nutritionist 357 South Irving St, Ridgewood, NJ 07450 2013-07-26
1427398858 Life Opportunities Unlimited A Non Profit Corp. Day Training, Developmentally Disabled Services 75 North Maple Ave, Suite 104, Ridgewood, NJ 07450 2013-02-21
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy 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.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780299453 Alana Lopez Social Worker 6403 68th Ave # 2, Ridgewood, NY 11385-4641 2020-09-10
1578177754 Noelle Bauer Social Worker 589 Franklin Tpke Ste 5, Ridgewood, NJ 07450-1928 2020-09-03
1114555943 Kathleen Mchugh Akbar Social Worker 144 Circle Ave, Ridgewood, NJ 07450-4602 2020-03-28
1598398349 Hero Counseling Center Social Worker 47 E Ridgewood Ave, Ridgewood, NJ 07450-3868 2020-02-20
1598397432 Paul Chiariello Social Worker 5940 Myrtle Ave, Ridgewood, NY 11385-5658 2020-02-09
1699332221 Santa Ghosh Dastidar Social Worker 162 E Ridgewood Ave Ste 2, Ridgewood, NJ 07450-3846 2019-05-20
1487165528 Brigid Caffrey Social Worker 155 Walthery Ave, Ridgewood, NJ 07450-3507 2017-10-16
1689107518 Anastasia Agramonte Social Worker 640 Linwood Ave, Ridgewood, NJ 07450-3543 2017-04-07
1093160996 Todd Eckert Social Worker 201 E Ridgewood Ave Ste 5, Ridgewood, NJ 07450-3825 2016-04-28
1285091157 Heather Roman Social Worker 310 Orchard Pl, Ridgewood, NJ 07450-4906 2016-01-24
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Competitor

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City RIDGEWOOD
Zip Code 07450

Improve Information

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Dataset Information

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.

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