Individual provider Active NPI

Rudesta Edwards-Ugiomoh, LISW, LSCSW, LSWIC

  • Clinical Social Worker
  • Columbus, OH
National Provider Identifier
1396477089
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2506666 Issued in OH
Practice address
170 Northwoods Blvd Ste 210
Columbus, OH 43235-4711
Phone
(855) 232-4482
NPI assigned
Jun 30, 2022
Last updated
Nov 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I.2506666 OH Primary
Clinical Social Worker 1041C0700X LW70004890 WA
Clinical Social Worker 1041C0700X 06834 KS
Clinical Social Worker 1041C0700X 0904018929 VA

Addresses

Primary practice location

170 Northwoods Blvd Ste 210
Columbus, OH 43235-4711

Mailing address

170 Northwoods Blvd Ste 210
Columbus, OH 43235-4711
Phone (855) 232-4482

Other practice location 1

1130 Conestoga Valley Ct
Blacklick, OH 43004-7226
Phone (614) 962-2121

Other practice location 2

100 N Howard St Ste W
Spokane, WA 99201-0508
Phone (614) 962-2121

Other names 1

  • Rudie Edwards-Ugiomoh Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, OH, WA, IL, VA, DC6 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 6

Enrollment IDStateProvider typePAC IDDetails
I20250806002549 KS Practitioner - Clinical Social Worker 9335657683 Reassigns benefits to 2 organizations
I20250808003283 OH Practitioner - Clinical Social Worker 9335657683 Reassigns benefits to 3 organizations
I20251118001906 WA Practitioner - Clinical Social Worker 9335657683 Reassigns benefits to 4 organizations
I20251208003305 IL Practitioner - Clinical Social Worker 9335657683 Reassigns benefits to 2 organizations
I20251211003772 VA Practitioner - Clinical Social Worker 9335657683 Reassigns benefits to 2 organizations
I20260317003154 DC Practitioner - Clinical Social Worker 9335657683 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mental Health Specialty Group PAGroup PAC ID 8921466228, 726 clinicians

Practice addresses (Care Compare)

Richmond, VA 23235
Phone (855) 232-4482

Churchville, VA 24421
Phone (323) 205-7088

Columbus, OH 43215
Phone (323) 205-7088

Columbus, OH 43235
Phone (855) 232-4482

Shelton, WA 98584
Phone (323) 205-7088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904018929VAMDClinical Social Worker
LW70004890WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Clinical CurrentSince Dec 16, 2025 Accepting new patients
Mindful Therapy Group PC Clinical CurrentSince Nov 4, 2025 Accepting new patients
A & E Behavioral Healthcare PLLC Clinical CurrentSince Jun 15, 2025 Accepting new patients
Mental Health Specialty Group PA CurrentSince Feb 1, 2026 Accepting new patients
Grow Healthcare Group of Kansas PA Clinical CurrentSince Dec 17, 2025 Accepting new patients
Necco, LLC Clinical PastSince Jul 1, 2022 Accepting new patients

Locations

1140 3rd St NE
Washington, DC 20002
Phone (202) 935-1033

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

1130 S Canal St
Ste 1493
Chicago, IL 60607
Phone (855) 232-4482

605 N Michigan Ave
Fl 4
Chicago, IL 60611
Phone (773) 232-5338

801 E Douglas Ave
Fl 2ND
Wichita, KS 67202
Phone (316) 974-3161

170 Northwoods Blvd
Ste 20
Columbus, OH 43235
Phone (614) 635-9606

170 Northwoods Blvd
Ste 210
Columbus, OH 43235
Phone (614) 505-7511

4449 Easton Way
Fl 2
Columbus, OH 43219
Phone (614) 565-8197

800 N High St
Columbus, OH 43215
Phone (631) 540-8225

1248 Carmia Way
North Chesterfield, VA 23235
Phone (804) 482-0225

8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598

21907 64th Ave W
Ste 200
Mountlake Terrace, WA 98043
Phone (410) 258-3698

6505 216th St SW
Ste 100
Mountlake Terrace, WA 98043
Phone (425) 678-6463

1455 NW Leary Way
Ste 400
Seattle, WA 98107
Phone (206) 202-8506

320 NE 97th St
Ste A
Seattle, WA 98115
Phone (206) 323-8113

100 N Howard St
Spokane, WA 99201
Phone (206) 201-1163

201 W North River Dr
Ste 301
Spokane, WA 99201
Phone (509) 496-0724

Organizations & group practices 6

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": "1656547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1396477089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 NORTHWOODS BLVD STE 210",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432354711",
            "telephone_number": "855-232-4482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 NORTHWOODS BLVD STE 210",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432354711",
            "telephone_number": "855-232-4482"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1130 Conestoga Valley Ct",
            "address_purpose": "LOCATION",
            "city": "Blacklick",
            "state": "OH",
            "postal_code": "430047226",
            "country_code": "US",
            "telephone_number": "614-962-2121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 N Howard St Ste W",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992010508",
            "country_code": "US",
            "telephone_number": "614-962-2121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDWARDS-UGIOMOH",
        "first_name": "RUDESTA",
        "credential": "LISW, LSCSW, LSWIC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-30",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2506666",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW70004890",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "06834",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904018929",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RUDIE",
            "last_name": "EDWARDS-UGIOMOH",
            "credential": "LISW, LSCSW, LSWIC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.