Individual provider Active NPI

Julie R Rudiger, MSW

  • Clinical Social Worker
  • Lakewood, CO
National Provider Identifier
1265537336
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
992023 Issued in CO
Practice address
445 Union Blvd
Suite 203
Lakewood, CO 80228-1237
Phone
(303) 331-1811
Fax
(720) 974-0444
NPI assigned
Sep 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 992023 CO Primary

Addresses

Primary practice location

445 Union Blvd
Suite 203
Lakewood, CO 80228-1237

Mailing address

445 Union Blvd
Suite 203
Lakewood, CO 80228-1237
Phone (303) 331-1811

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 1, 2025 through Oct 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
992023COMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265537336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 UNION BLVD",
            "address_2": "SUITE 203",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802281237",
            "telephone_number": "303-331-1811",
            "fax_number": "720-974-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 UNION BLVD",
            "address_2": "SUITE 203",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802281237",
            "telephone_number": "303-331-1811",
            "fax_number": "720-974-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDIGER",
        "first_name": "JULIE",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "992023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

Verify at the official NPI Registry.