Individual provider Active NPI

Emily Rudofsky, LCSW

  • Clinical Social Worker
  • Newtown, PA
National Provider Identifier
1790327534
Registry record updated Oct 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SL06513900 Issued in NJ
Practice address
842 Durham Rd Ste 200
Newtown, PA 18940-9680
Phone
(732) 470-0272
NPI assigned
Oct 14, 2019
Last updated
Oct 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SCO610800 NJ
Clinical Social Worker 1041C0700X 44SL06513900 NJ Primary

Addresses

Primary practice location

842 Durham Rd Ste 200
Newtown, PA 18940-9680

Mailing address

305 Johnson Ave
Lawrence, NJ 08648-3419
Phone (732) 470-0272

Other practice location 1

20 Nassau St Ste 413
Princeton, NJ 08542-4505
Phone (609) 721-9234 ext. 60972

Other practice location 2

219 Wall St
Princeton, NJ 08540-1512
Phone (609) 721-9234 ext. 60972

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
44SCO610800NJMDClinical Social Worker
44SL06513900NJMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1571011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666915200000",
    "number": "1790327534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 JOHNSON AVE",
            "city": "LAWRENCE",
            "state": "NJ",
            "postal_code": "086483419",
            "telephone_number": "732-470-0272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "842 DURHAM RD STE 200",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189409680",
            "telephone_number": "732-470-0272"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 Nassau St Ste 413",
            "address_purpose": "LOCATION",
            "city": "Princeton",
            "state": "NJ",
            "postal_code": "085424505",
            "country_code": "US",
            "telephone_number": "609-721-9234 x60972",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "219 Wall St",
            "address_purpose": "LOCATION",
            "city": "Princeton",
            "state": "NJ",
            "postal_code": "085401512",
            "country_code": "US",
            "telephone_number": "609-721-9234 x60972",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUDOFSKY",
        "first_name": "EMILY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-14",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SCO610800",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SL06513900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newtown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.