Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Iris Marie Rudolph

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1538631262

Iris Marie Rudolph is a Clinical Social Worker in New York, New York. Qualified in 2018, 8 years ago. Practices with Jewish Board of Family and Childrens Services Inc, a 127-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
8
Licensed in
NY
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

119 W 124th St
New York, NY 10027-4920
Phone: (212) 932-2810
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2 Adrian Ave Apt 44b, Bronx, NY 10463-6550 — (646) 271-3207

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 094294 (NY)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 22473 (NY)

Record details

NPI number1538631262
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 19, 2018
Last updated in NPPESMay 27, 2026
Certification dateMay 27, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Jewish Board Of Family And Childrens Services Inc — 127 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in New York