Amie Lois Rudolph, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW22250 Issued in CA

Practice address

UCSF Benioff Children'S Hospital
1975 4TH Street
San Francisco, CA 94930

Phone

(415) 476-4272

Fax

(415) 476-5363

NPI assigned

Jun 22, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1592784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592784000000",
    "number": "1033735436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UCSF BENIOFF CHILDREN'S HOSPITAL",
            "address_2": "1975 4TH STREET",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94930",
            "telephone_number": "415-476-4272",
            "fax_number": "415-476-5363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UCSF BENIOFF CHILDREN'S HOSPITAL",
            "address_2": "1975 4TH STREET",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94930",
            "telephone_number": "415-476-4272",
            "fax_number": "415-476-5363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDOLPH",
        "first_name": "AMIE",
        "middle_name": "LOIS",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-22",
        "last_updated": "2020-06-22",
        "certification_date": "2020-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW22250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Rudd
• Patricia Ann Rudd, PT
• Somjintana Ruderman
• Jeffrey David Rudie, MD PHD
• Sarah Catherine Lewis Rudman, MD
• Clare Rudolph, LCSW
• Colin David Rudolph, M.D.
• Heather Rudolph
• Susan Rudolph, R.N., PHN
• Elina Rudoy, MFTI

• Clinical Social Worker in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.