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

Individual provider Social Worker · NPI 1063924827

Shannon Rudy, LCSW is a Social Worker in Rochester, New York. Works from 3 locations. Licensed in New York.

Licensed in
NY
In the registry since
2017
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

1081 Long Pond Rd Ste 100
Rochester, NY 14626-5002
Phone: (585) 210-8939
Fax: (585) 371-6464
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 201 Cedar St, Oneida, NY 13421-2111 — (607) 753-0234
  • 1565 Long Pond Rd, Rochester, NY 14626 — (585) 723-7723

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 093731 (NY)

Record details

NPI number1063924827
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedNovember 1, 2017
Last updated in NPPESMarch 5, 2025
Certification dateMarch 5, 2025

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