Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Justin Scott Rudolph, LCSW

Individual provider Clinical Social Worker · NPI 1811443674

Mr. Justin Scott Rudolph, LCSW is a Clinical Social Worker in Paramus, New Jersey. Works from 2 locations. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2016
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

610 Valley Health Plz
Paramus, NJ 07652-3607
Phone: (201) 805-5169
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 88 W Ridgewood Ave, Ridgewood, NJ 07450-3199 — (201) 674-1818

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 44SL06056300 (NJ)

Record details

NPI number1811443674
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedAugust 31, 2016
Last updated in NPPESNovember 15, 2019

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