Individual provider Active NPI

Malka Rudin, LCSW-C

  • Clinical Social Worker
  • Baltimore, MD
National Provider Identifier
1043651656
Registry record updated Jul 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
14460 Issued in MD
Practice address
1190 W Northern Pkwy
Baltimore, MD 21210-1431
Phone
(845) 300-0922
NPI assigned
Jul 11, 2013
Last updated
Jul 11, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 14460 MD Primary

Addresses

Primary practice location

1190 W Northern Pkwy
Baltimore, MD 21210-1431

Mailing address

2705 Jeremy CT
Apt C
Baltimore, MD 21209-3023
Phone (845) 300-0922

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180104001467 VA Practitioner - Clinical Social Worker 4183983794 Reassigns benefits to 1 organization
I20231208002355 NY Practitioner - Clinical Social Worker 4183983794 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Refuah Health Center IncGroup PAC ID 4880584416, 88 clinicians

Practice addresses (Care Compare)

408 Wilson Ave
New Square, NY 10977-1946
Phone (845) 354-9300

5 Twin Ave
Spring Valley, NY 10977-3950
Phone (845) 354-9300

728 N Main St
Spring Valley, NY 10977-8614

728 N Main St
New Square, NY 10977-8916
Phone (845) 354-9300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14460MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Community Assistance Resources & Extended Services Inc CurrentSince Jun 1, 2024 Accepting new patients
Refuah Health Center Inc CurrentSince Oct 1, 2023 Accepting new patients
Michael S. Weissman, PH.D.,LTD Clinical CurrentSince Oct 11, 2017 Accepting new patients
Refuah Health Center, Inc. CurrentSince Oct 1, 2023 Accepting new patients
Psychotherapy Resources of Norfolk LTD Clinical Past Accepting new patients

Locations

728 N Main St
New Square, NY 10977
Phone (845) 354-9301

465 Grand St
New York, NY 10002
Phone (212) 420-1970

5 Twin Ave
Spring Valley, NY 10977
Phone 84535493001249

3101 American Legion Rd
Ste 21B
Chesapeake, VA 23321
Phone (757) 483-3404

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1373500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373500800000",
    "number": "1043651656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2705 JEREMY CT",
            "address_2": "APT C",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212093023",
            "telephone_number": "845-300-0922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 W NORTHERN PKWY",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212101431",
            "telephone_number": "845-300-0922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDIN",
        "first_name": "MALKA",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-11",
        "last_updated": "2013-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "14460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.