Individual provider Active NPI

Megan Rudman, LCSW

  • Clinical Social Worker
  • Howell, NJ
National Provider Identifier
1457878720
Registry record updated Aug 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05630100 Issued in NJ
Practice address
504 Aldrich Rd Ste 2C
Howell, NJ 07731-1939
Phone
(848) 459-2196
NPI assigned
Aug 27, 2017
Last updated
Aug 27, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2017

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 44SC05630100 NJ Primary

Addresses

Primary practice location

504 Aldrich Rd Ste 2C
Howell, NJ 07731-1939

Mailing address

299 Frank Applegate Rd
Jackson, NJ 08527-4215

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20171013000951 NJ Practitioner - Clinical Social Worker 7113292335 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
Telehealth
Offers telehealth services
Group practices
Exceptional Wellness Counseling, Inc.Group PAC ID 2668892449, 27 clinicians

Practice addresses (Care Compare)

219 Taylors Mills Rd
Manalapan, NJ 07726-3255
Phone (908) 415-2042

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Exceptional Wellness Counseling, Inc. Clinical CurrentSince Apr 17, 2023 Accepting new patients

Locations

219 Taylors Mills Rd
Manalapan, NJ 07726
Phone (732) 234-9364

Organizations & group practices 1

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": "1503792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503792000000",
    "number": "1457878720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "299 FRANK APPLEGATE RD",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085274215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 ALDRICH RD STE 2C",
            "city": "HOWELL",
            "state": "NJ",
            "postal_code": "077311939",
            "telephone_number": "848-459-2196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDMAN",
        "first_name": "MEGAN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-27",
        "last_updated": "2017-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05630100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Howell, NJ

Sources for this page

Verify at the official NPI Registry.