Individual provider · Type 1 NPI

Amanda Ilyse Rudderman, LCSW

Clinical Social Worker · Richmond, VA

NPI number 1538088554 Active

Practice location

1218 W Clay St
Richmond, VA 23220-2218

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X0904019894 (VA)

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 1538088554

Amanda Ilyse Rudderman, LCSW's National Provider Identifier is 1538088554, issued on Jul 13, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Richmond, VA. The record was last updated on Jul 13, 2026.