Active NPI
Emily Rudofsky, LCSW
- Clinical Social Worker
- Newtown, PA
National Provider Identifier
1790327534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SL06513900
- Practice address
- 842 Durham Rd Ste 200
Newtown, PA 18940-9680 - Phone
- (732) 470-0272
- NPI assigned
- Oct 14, 2019
- Last updated
- Oct 28, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 44SCO610800 | NJ | MD | Clinical Social Worker |
| 44SL06513900 | NJ | MD | Clinical 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.