Marianne Fountain Rudzewicz, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW3025 Issued in FL

Practice address

3105 W Waters Ave
Suite 315-B
Tampa, FL 33614-2869

Phone

(813) 935-1721

Fax

(813) 264-5458

NPI assigned

Jun 19, 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": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851336069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3105 W WATERS AVE",
            "address_2": "SUITE 315-B",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336142869",
            "telephone_number": "813-935-1721",
            "fax_number": "813-264-5458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 W WATERS AVE",
            "address_2": "SUITE 315-B",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336142869",
            "telephone_number": "813-935-1721",
            "fax_number": "813-264-5458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDZEWICZ",
        "first_name": "MARIANNE",
        "middle_name": "FOUNTAIN",
        "name_prefix": "Mrs.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW3025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Elizabeth Rudibaugh, PA
• Valerija Rudic, ARNP FNP-C
• Emily Rudich, ARNP-C
• Colleen M Rudolph, CRNA
• Lesley Jill Rudolph, DMD
• Theresa Ruehle
• Annette L Ruelf
• Michael J Ruelf, DDS
• Michelle Ruenes, B.S,. M.ED
• D'Andre Ruff

• Clinical Social Worker in Tampa, FL
• Providers in Tampa, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.