Sally James Rudnick, LCSW, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SALLY JAMES RUDNICK, LCSW, PLLC

Doing business as

Sally Rudnick, LCSW, PLLC

Practice address

28 Railroad Ave
Warwick, NY 10990-1639

Phone

(917) 656-9439

NPI assigned

Mar 24, 2021

Last updated

Mar 31, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sally Rudnick, LCSWNPI 1386979045

Title

Owner

Phone

(917) 656-9439

Specialties & licenses 2

Addresses

Other names 1

• Sally Rudnick, LCSW, PLLC Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sally S Rudnick, LCSW

  • Clinical Social Worker
  • New York, NY
  • NPI 1386979045
  Medicare reassignment NPD Authorized official
• Leonard Fraser, MSW

  • Clinical Social Worker
  • New York, NY
  • NPI 1861829871
  NPD (past)
• Ruth Hayes Landstrom, PH.D.

  • Psychologist
  • New York, NY
  • NPI 1184994014
  NPD (past)

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

{
    "created_epoch": "1616544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617148800000",
    "number": "1326624792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 RAILROAD AVE",
            "city": "WARWICK",
            "state": "NY",
            "postal_code": "109901639",
            "telephone_number": "917-656-9439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 RAILROAD AVE",
            "city": "WARWICK",
            "state": "NY",
            "postal_code": "109901639",
            "telephone_number": "917-656-9439"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "244 5th Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100017604",
            "country_code": "US",
            "telephone_number": "917-656-9439",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SALLY JAMES RUDNICK, LCSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-24",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A",
        "authorized_official_last_name": "RUDNICK",
        "authorized_official_first_name": "SALLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-656-9439",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sally Rudnick, LCSW, PLLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sally Rudnick, LCSW, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Richard Mark Rutkowski, PT
• Maryann Ryan, APRN
• Kathryn Ryans
• Toni Ryder, LCSW
• Barbara J Rys, NP
• Kathryn A Samer, M.A. COUNSELING, 197
• Jerry Sander, L.C.S.W.-R.
• Monica Savedoff
• Elaine Julianne Scarane
• Karen Anne Schaffer, FNP-C

• Clinical Social Worker in Warwick, NY
• Providers in Warwick, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.