Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Julie Marie Rudolph, LISW-S

Individual provider Clinical Social Worker · NPI 1629546775

Mrs. Julie Marie Rudolph, LISW-S is a Clinical Social Worker in Cleveland, Ohio. Qualified in 1999, 27 years ago. Practices with Cleveland Clinic, a 6,935-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
27
Licensed in
OH
In the registry since
2018
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Practice location Address checks out

1730 W 25th St
Cleveland, OH 44113-3170
Phone: (216) 363-2122
Fax: (440) 312-9251
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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 I.0009457 (OH)

Record details

NPI number1629546775
Entity typeIndividual (Type 1)
GenderFemale
Credentials LISW-S
Sole proprietorNo
NPI enumeratedNovember 7, 2018
Last updated in NPPESOctober 5, 2020
Certification dateOctober 5, 2020

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Cleveland Clinic — 6935 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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