Angela Susan Rudner, LCSWC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ISW02235 Issued in RI

Practice address

400 Bald Hill Rd
Warwick, RI 02886-1617

Phone

(401) 732-1500

NPI assigned

Sep 29, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in RI

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.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Angela Rudner Psychotherapy LLC

  • Clinical Social Worker
  • Providence, RI
  • NPI 1114378098
  Medicare reassignment NPD Authorized official
• University Pediatrics Dba Children'S Medical Group

  • Pediatric Nurse Practitioner
  • Providence, RI
  • NPI 1902292899
  NPD (past)
• University Pediatrics, Inc

  • Pediatrics Physician
  • Providence, RI
  • NPI 1932117702
  NPD (past)

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

{
    "created_epoch": "1285718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350604800000",
    "number": "1831408558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 BALD HILL RD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028861617",
            "telephone_number": "401-732-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 BALD HILL RD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028861617",
            "telephone_number": "401-732-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDNER",
        "first_name": "ANGELA",
        "middle_name": "SUSAN",
        "name_prefix": "Ms.",
        "credential": "LCSWC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-29",
        "last_updated": "2012-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "15954",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW02235",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "116924",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bonnie Irene Rubenthaler, RN
• Kristen Rubin, AU.D
• Jonah Edward Ruddy, DO
• Kenneth J Rudman, DMD
• Nadia Katrina Rudman
• Jessica Somerville Ruffolo, PH.D.
• Cynthia Ruggiero, APRNCNP
• Molly I Ruhan
• Derek Ruiz, PHARMD
• Tabatha Ruiz, OT

• Clinical Social Worker in Warwick, RI
• Providers in Warwick, RI by specialty
• Clinical Social Worker in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.