Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Amanda Frudakis-Ruckel, LCSW

Individual provider Clinical Social Worker · NPI 1700412053

Amanda Frudakis-Ruckel, LCSW is a Clinical Social Worker in Long Valley, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2020
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

15 Wehrli Rd
Long Valley, NJ 07853-3418
Phone: (631) 764-9261
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 44SC05919200 (NJ)

Record details

NPI number1700412053
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMarch 18, 2020
Last updated in NPPESOctober 9, 2024
Certification dateOctober 9, 2024

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