Norman Duderstadt Jr., LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

1700480 Issued in OH

Practice address

1455 S 4TH St
Columbus, OH 43207-1011

Phone

(614) 444-0800

NPI assigned

Sep 20, 2017

Last updated

Sep 20, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1505865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505865600000",
    "number": "1588173603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 S 4TH ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432071011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 S 4TH ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432071011",
            "telephone_number": "614-444-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDERSTADT",
        "first_name": "NORMAN",
        "name_suffix": "Jr.",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-20",
        "last_updated": "2017-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "1700480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathallie Duckson
• Alyssa Duckworth
• Carmen Sha'Raine Duckworth
• Janis Kaye Duckworth, LPN
• Lynn M Dudek, MS,CCC-SLP, BCBA,MBA
• Anne Dudley-Marling, LPC
• Brianna Dudley
• Edward E Dudley Jr.
• Jennifer Dudley, CNP
• Samuel Washington Dudley III, M.D.

• Social Worker in Columbus, OH
• Providers in Columbus, OH by specialty
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.