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

Active since June 04, 2026PECOS Enrolled
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: September 06, 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. She is enrolled in Medicare PECOS.

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
Phone(651) 395-5788
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
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Other Names 1

Professional Name (2)Eliza Rudegeair Licsw

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elizabeth Rudegeair Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55435 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $56.00 – $168.28
Typical copayment $0.00 (range $14.00 – $42.07)
Most-billed visit code NA
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

SHARON ANNA WALFOORT LMFT
Marriage & Family Therapist
6600 FRANCE AVE S STE 460
EDINA, MN 55435
Hennepin County (651) 454-0114
MRS. SYDNEY ROSE PIERCE MA, LPCC
Counselor (Professional)
6600 FRANCE AVE S STE 460
EDINA, MN 55435
Hennepin County (651) 505-5653

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elizabeth Rudegeair's NPI number?

The NPI number for Elizabeth Rudegeair is 1104759703. It was assigned to this individual provider in the NPPES registry on June 4, 2026. The provider is also known as Eliza Rudegeair Licsw.

Where is Elizabeth Rudegeair located?

Elizabeth Rudegeair practices at 6600 France Ave S Ste 460, Edina, MN 55435. The listed phone number is (651) 395-5788.

What is Elizabeth Rudegeair's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Elizabeth Rudegeair enrolled in Medicare?

Yes. Elizabeth Rudegeair is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Elizabeth Rudegeair was last updated on June 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.