Individual provider Active NPI

Joanna L Rudewicz, LSSW

  • Mental Health Counselor
  • Cheshire, CT
National Provider Identifier
1598473142
Registry record updated Nov 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
10887 Issued in CT
Practice address
1 Holly Rd
Cheshire, CT 06410-2613
Phone
(203) 645-3498
NPI assigned
Nov 14, 2022
Last updated
Nov 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 10887 CT Primary

Addresses

Primary practice location

1 Holly Rd
Cheshire, CT 06410-2613

Mailing address

1 Holly Rd
Cheshire, CT 06410-2613
Phone (203) 645-3498

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3013 Dixwell Ave
Suite 1
Hamden, CT 06518-3527

420 Highland Ave
Suite B1
Cheshire, CT 06410-2527

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10887CTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Therapeutic Solutions of Cheshire Past Accepting new patients

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": "1668384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668384000000",
    "number": "1598473142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HOLLY RD",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064102613",
            "telephone_number": "203-645-3498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOLLY RD",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064102613",
            "telephone_number": "203-645-3498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDEWICZ",
        "first_name": "JOANNA",
        "middle_name": "L",
        "credential": "LSSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-14",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CT",
            "license": "10887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheshire, CT

Sources for this page

Verify at the official NPI Registry.