Individual
CAROLINE H RUDIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
727 N BROADWAY STE B1, MASSAPEQUA, NY 11758-2348
(800) 871-5491
Mailing address
6837 YELLOWSTONE BLVD APT C37, FOREST HILLS, NY 11375-3404
(718) 764-7199
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
110357
NY
1041C0700X
Clinical Social Worker
Primary
096929
NY
Other
Enumeration date
12/13/2020
Last updated
02/11/2026
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