Angela Rudner Psychotherapy LLC
NPI 1114378098ActiveOrganization· Social Worker, Clinical· Providence, RI
Social Worker, Clinical in Providence, Rhode Island, registered in NPPES in June 2016. The authorized official on file is Angela Susan Rudner, LICSW, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1114378098 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 22, 2016 |
| Last updated in NPPES | Jun 22, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | ISW02235 | RI |
| Social Worker, Clinical | 1041C0700X | 116924 | MA |
| Social Worker, Clinical | 1041C0700X | 15954 | MD |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (RI) |
|---|
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