Individual provider · Type 1 NPI

Simon Alan Rudolph, LCSW

Clinical Social Worker · Knoxville, TN

NPI number 1952400723 Active

Practice location

901 E Summit Hill Dr
Knoxville, TN 37915-1200

Call (865) 524-7483 Map

Mailing address

5907 Van Horn Rd
Knoxville, TN 37918-3831

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X3075 (TN)

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 1952400723

Simon Alan Rudolph, LCSW's National Provider Identifier is 1952400723, issued on Sep 21, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Knoxville, TN. The record was last updated on Jul 8, 2007.