Ann Rudovsky, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

PRO10345 Issued in NY

Practice address

2 W 67TH St
New York, NY 10023-6241

Phone

(212) 769-0504

Fax

(212) 580-6954

NPI assigned

Aug 29, 2006

Sex

Female

Sole proprietor

Yes

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)

Enrolled

State licenses

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653436800000",
    "number": "1801905658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 W 67TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100236241",
            "telephone_number": "212-769-0504",
            "fax_number": "212-580-6954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 W 67TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100236241",
            "telephone_number": "212-769-0504",
            "fax_number": "212-580-6954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDOVSKY",
        "first_name": "ANN",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "PRO10345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Alan Rudolph
• Joanna Carol Rudolph, L M S W
• Leslie Ann Rudolph, RPAC
• Lisa Rudolph, DNP, AGNP-BC
• Shentique Monique Rudolph
• Eric Matthew Rudow
• Sally Hechinger Rudoy, MSW, LCSW
• Michelle Rudshteyn Korostin, MD
• Daria Rudyk
• Darya Rudym, MD

• Clinical Social Worker in New York, NY
• Providers in New York, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 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.