Jordan Rudolph

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

32730 Issued in MN

Practice address

722 NW 7TH St
Brainerd, MN 56401-2912

Phone

(218) 855-1115

NPI assigned

Sep 14, 2026

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

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

{
    "created_epoch": "1789344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789344000000",
    "number": "1083525729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 3RD ST SW",
            "city": "CROSBY",
            "state": "MN",
            "postal_code": "564411257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "722 NW 7TH ST",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "564012912",
            "telephone_number": "218-855-1115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDOLPH",
        "first_name": "JORDAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-14",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "32730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla J Ross, APRN,CRNA
• Shosty Sue Roth, PA-C
• Lara Royer
• Allen Rud, L.P.T.
• Paul Thomas Rud, MD
• Melonee Ruhl, FNP
• Jared K Rustad, MD
• Daniel Ryan
• Suzanne M. Rye, OTR
• Andrew Sabir, OD

• Clinical Social Worker in Brainerd, MN
• Providers in Brainerd, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.