ELIZABETH RUDEGEAIR LICSW
NPI 1104759703
Social Worker - Clinical in Edina, MN

Active since June 04, 2026
6600 FRANCE AVE S STE 460, EDINA, MN 55435(651) 395-5788(651) 454-3492 Get Directions Write a Review

NPPES record last updated: June 4, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Elizabeth Rudegeair Licsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELIZABETH RUDEGEAIR LICSW (NPI 1104759703) is an individual clinical provider in Edina, Minnesota, licensed in Minnesota (32578) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1104759703
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameELIZABETH RUDEGEAIRCredential: LICSW
Location Address6600 FRANCE AVE S STE 460Edina, MN 55435-1811
Mailing Address6600 France Ave S Ste 460Edina, MN 55435-1811 · (612) 470-4122 · Fax (651) 454-3492
Fax(651) 454-3492
Sole ProprietorNo
Enumeration DateJune 4, 2026
NPPES CertifiedJune 4, 2026
NPI 1104759703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in MN · 32578
Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

6600 FRANCE AVE S STE 460, Edina, MN 55435

Other Names 1

Professional Name (2)Eliza Rudegeair Licsw

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
6600 FRANCE AVE S STE 460
EDINA, MN 55435
Marriage & Family Therapist
6600 FRANCE AVE S STE 460
EDINA, MN 55435

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104759703, enumerated as an "individual" on June 04, 2026.

The provider is located at 6600 FRANCE AVE S STE 460 EDINA, MN 55435 and the phone number is (651) 395-5788.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.