Avi Rudnick, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.022698 Issued in IL

Practice address

5153 N Clark St Ste 224
Chicago, IL 60640-6835

Phone

(312) 620-9868

NPI assigned

Jan 31, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1643587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1932852969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5153 N CLARK ST STE 224",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606406835",
            "telephone_number": "312-620-9868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5153 N CLARK ST STE 224",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606406835",
            "telephone_number": "312-620-9868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDNICK",
        "first_name": "AVI",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-31",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.022698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "avi@avirudnicklcsw.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "5153 N Clark St Ste 224",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606406835",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lindsay H Rudhman, PA-C
• Perry Rudich, MD
• Elizabeth Rudigier
• Tslilia Rudinski, LCSW
• Brian Rudinsky, M.D.
• David Andrew Rudnick, MD
• Lawrence A Rudnick, MD
• Catherine Rudnicki, DPT
• Marek Rudnicki, M D
• Rudolf Dreikurs Psychological Ser. Cen.

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; 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.