Individual provider Active NPI

Patricia S Rudd, LCSW

  • Clinical Social Worker
  • Highland Heights, KY
National Provider Identifier
1922039130
Registry record updated Nov 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1993 Issued in KY
Practice address
2816 Bluegrass Dr
Highland Heights, KY 41076
Phone
(859) 442-8500
Fax
(859) 442-8555
NPI assigned
Jul 5, 2006
Last updated
Nov 25, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1993 KY Primary

Addresses

Primary practice location

2816 Bluegrass Dr
Highland Heights, KY 41076

Mailing address

2816 Bluegrass Dr
Highland Heights, KY 41076-1577
Phone (859) 442-8500

Other practice location 1

209 Davis Rd
MT Sterling, KY 40353-9549
Phone (859) 498-2135

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1993KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Holly Hill Children's Home, Inc. CurrentSince Nov 10, 2024 Accepting new patients
Pathways, Inc CurrentSince Aug 7, 2017 Accepting new patients
Pathways Inc CurrentSince Aug 7, 2017 Accepting new patients
Greenhouse and Associates Inc. Past Accepting new patients

Locations

3701 Landsdowne Dr
Ashland, KY 41102
Phone (606) 324-3005

2816 Bluegrass Dr
Highland Heights, KY 41076
Phone (859) 442-8500

209 Davis Rd
Mt Sterling, KY 40353
Phone (800) 562-8909

300 Foxglove Dr
Mt Sterling, KY 40353
Phone (800) 562-8909

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574640000000",
    "number": "1922039130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2816 BLUEGRASS DR",
            "city": "HIGHLAND HEIGHTS",
            "state": "KY",
            "postal_code": "410761577",
            "telephone_number": "859-442-8500",
            "fax_number": "859-442-8555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2816 BLUEGRASS DR",
            "city": "HIGHLAND HEIGHTS",
            "state": "KY",
            "postal_code": "41076",
            "telephone_number": "859-442-8500",
            "fax_number": "859-442-8555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "209 Davis Rd",
            "address_purpose": "LOCATION",
            "city": "MT Sterling",
            "state": "KY",
            "postal_code": "403539549",
            "country_code": "US",
            "telephone_number": "859-498-2135",
            "fax_number": "859-498-7547",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUDD",
        "first_name": "PATRICIA",
        "middle_name": "S",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2019-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "1993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Heights, KY

Sources for this page

Verify at the official NPI Registry.