Individual provider Active NPI

Francene Stacee Rugendorf, LMSW

  • Social Worker
  • Red Hook, NY
National Provider Identifier
1659984938
Registry record updated Sep 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
109885-01 Issued in NY
Practice address
46 Cambridge Dr
Red Hook, NY 12571-1611
Phone
(203) 571-8171
NPI assigned
Aug 26, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 109885 NY
Social Worker 104100000X 109885-01 NY Primary

Addresses

Primary practice location

46 Cambridge Dr
Red Hook, NY 12571-1611

Mailing address

228 West 71St St.
6A
New York, NY 10023
Phone (203) 571-8171

Other practice location 1

46 Cambridge Dr
Red Hook, NY 12571-1611
Phone (203) 571-1871

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

LicenseStateTypeSpecialty
109885NYMDSocial Worker
109885-01NYMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1598400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1659984938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 WEST 71ST ST.",
            "address_2": "6A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10023",
            "telephone_number": "203-571-8171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 CAMBRIDGE DR",
            "city": "RED HOOK",
            "state": "NY",
            "postal_code": "125711611",
            "telephone_number": "203-571-8171"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "46 Cambridge Dr",
            "address_purpose": "LOCATION",
            "city": "Red Hook",
            "state": "NY",
            "postal_code": "125711611",
            "country_code": "US",
            "telephone_number": "203-571-1871",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUGENDORF",
        "first_name": "FRANCENE",
        "middle_name": "STACEE",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-26",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "109885",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "109885-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Hook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; 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.