Individual provider · Type 1 NPI

Timothy J. Rudder

Clinical Social Worker · Columbia, MO

NPI number 1356058028 Active

Practice location

2600 Forum Blvd Ste G
Columbia, MO 65203-6343

Mailing address

4803 Garden Grove Dr
Columbia, MO 65203-9720

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X2021001098 (MO)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1356058028

Timothy J. Rudder's National Provider Identifier is 1356058028, issued on Nov 2, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Columbia, MO. The record was last updated on Nov 2, 2022.