Individual provider · Type 1 NPI

Caroline H. Rudin, LMSW

Clinical Social Worker · Massapequa, NY

NPI number 1922694058 Active

Practice location

727 N Broadway Ste B1
Massapequa, NY 11758-2348

Call (800) 871-5491 Map

Mailing address

6837 Yellowstone Blvd Apt C37
Forest Hills, NY 11375-3404

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X096929 (NY)
Social Worker 104100000X110357 (NY)

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 1922694058

Caroline H. Rudin, LMSW's National Provider Identifier is 1922694058, issued on Dec 13, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Massapequa, NY. The record was last updated on Feb 11, 2026.