Kristin Elizabeth Rudder, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149028756 Issued in IL

Practice address

4050 Healthway Dr
Aurora, IL 60504-8183

Phone

(815) 409-5117

NPI assigned

Apr 18, 2025

Sex

Female

Sole proprietor

Yes

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

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Tabs Behavioral Health IncGroup PAC ID 7517344633, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Tabs Behavioral Health Inc

  • Psychiatric/Mental Health Nurse Practitioner
  • Plainfield, IL
  • NPI 1518585942
  Medicare reassignment Care Compare group NPD
• Ear to Ear Behavioral Health Solutions

  • Adult Mental Health Clinic/Center
  • Chicago, IL
  • NPI 1467023150
  Medicare reassignment NPD

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

{
    "created_epoch": "1744934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1043006604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4050 HEALTHWAY DR",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605048183",
            "telephone_number": "815-409-5117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4050 HEALTHWAY DR",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605048183",
            "telephone_number": "815-409-5117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDDER",
        "first_name": "KRISTIN",
        "middle_name": "ELIZABETH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-18",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149028756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• RPM Services, Inc
• Bryan W Rubach, M.D.
• Dmitry Sergei Ruban, MD
• Harry Rubinstein, MD
• Paula Rubio
• Roman Ruddy Miller
• Jennifer Jeanette Ruegsegger
• Nikki Renee Ruffin, LCPC
• Amrita Swamy Ruia
• Ana Karen Ruiz

• Clinical Social Worker in Aurora, IL
• Providers in Aurora, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.