Individual provider Active NPI

James P Rudden, MSW, LCSW

  • Social Worker
  • Saint Louis, MO
National Provider Identifier
1861559221
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
2000152256 Issued in MO
Practice address
3300 S Kingshighway Blvd
Saint Louis, MO 63139-1102
Phone
(314) 533-6047
NPI assigned
Jan 3, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 2000152256 MO Primary

Addresses

Primary practice location

3300 S Kingshighway Blvd
Saint Louis, MO 63139-1102

Mailing address

3921 Federer PL
3300 So. Kingshighway
Saint Louis, MO 63116-3132
Phone (314) 353-3848

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861559221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3921 FEDERER PL",
            "address_2": "3300 SO. KINGSHIGHWAY",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631163132",
            "telephone_number": "314-353-3848",
            "fax_number": "314-353-8227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 S KINGSHIGHWAY BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631391102",
            "telephone_number": "314-533-6047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDDEN",
        "first_name": "JAMES",
        "middle_name": "P",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MO",
            "license": "2000152256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • 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.