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

Timothy J Rudder

Individual provider Clinical Social Worker · NPI 1356058028

Timothy J Rudder is a Clinical Social Worker in Columbia, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2022

Practice location Address checks out

2600 Forum Blvd Ste G
Columbia, MO 65203-6343
Phone: (573) 239-9915
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 2021001098 (MO)

Record details

NPI number1356058028
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 2, 2022
Last updated in NPPESNovember 2, 2022
Certification dateNovember 2, 2022

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