Active NPI
James P Rudden, MSW, LCSW
- Social Worker
- Saint Louis, MO
National Provider Identifier
1861559221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 2000152256
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.