Active NPI
Cheri Flaig Rudgers, LCSW
- Clinical Social Worker
- Marina, CA
National Provider Identifier
1497058366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2119C
- Practice address
- 201 9TH Street
Social Work Services
Marina, CA 93933 - Phone
- (831) 884-1019
- Fax
- (831) 884-1014
- NPI assigned
- Dec 14, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2119C | AL | Primary |
Addresses
Primary practice location
201 9TH Street
Social Work Services
Marina, CA 93933
Mailing address
215 Perry Hill Rd
Social Work Services
Montgomery, AL 36109-3725
Phone (334) 272-4670
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2119C | AL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571788800000",
"number": "1497058366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 PERRY HILL RD",
"address_2": "SOCIAL WORK SERVICES",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361093725",
"telephone_number": "334-272-4670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 9TH STREET",
"address_2": "SOCIAL WORK SERVICES",
"city": "MARINA",
"state": "CA",
"postal_code": "93933",
"telephone_number": "831-884-1019",
"fax_number": "831-884-1014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUDGERS",
"first_name": "CHERI",
"middle_name": "FLAIG",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-12-14",
"last_updated": "2019-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AL",
"license": "2119C",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.