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KIMBERLY ALENE RUDY ASW
NPI 1205150760
Social Worker - Clinical in San Francisco, CA

Active since March 26, 2010PECOS Enrolled
201 PANORAMA DR, SAN FRANCISCO, CA 94131(415) 770-0710 Get Directions Write a Review

NPPES record last updated: August 21, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kimberly Alene Rudy Asw NPPES

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

KIMBERLY ALENE RUDY ASW (NPI 1205150760) is an individual clinical provider in San Francisco, California, licensed in California (70251) and active in the NPI registry since March 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205150760
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKIMBERLY ALENE RUDYCredential: ASW
Location Address201 PANORAMA DRSan Francisco, CA 94131-1246
Mailing Address201 Panorama DriveSan Francisco, CA 94131 · (415) 937-4770
Phone(415) 770-0710
Sole ProprietorNo
Enumeration DateMarch 26, 2010
Last NPPES UpdateAugust 21, 2025
NPPES CertifiedAugust 21, 2025
✔ NPI 1205150760 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 CA · 70251
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.
201 PANORAMA DR, San Francisco, CA 94131
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly Alene Rudy Asw 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Kimberly Rudy reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Grow Healthcare Group PC
42 mi
Mental Health
99 S ALMADEN BLVD STE 600
San Jose, CA 95113
  • Reassigned Medicare billing, California enrollment
  • 3,139 clinicians in this Medicare group
NPI 1154994846 (408) 402-4385
Blue Moon Senior Counseling Of California LLC
1,830 mi
Clinical
10204 BODE ST STE B
Plainfield, IL 60585
  • Reassigned Medicare billing, California enrollment
  • 117 clinicians in this Medicare group
NPI 1447678990 (855) 241-7160

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94131 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 $69.00 – $202.35
Typical copayment $0.00 (range $17.25 – $50.58)
Most-billed visit code NA
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
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

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

KIMBERLY RUDY LICENSED CLINICAL SOCIAL WORKER INC.
Social Worker (Clinical)
201 PANORAMA DR
SAN FRANCISCO, CA 94131
San Francisco County (415) 937-4770

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 Kimberly Rudy's NPI number?

The NPI number for Kimberly Rudy is 1205150760. It was assigned to this individual provider in the NPPES registry on March 26, 2010.

Where is Kimberly Rudy located?

Kimberly Rudy practices at 201 Panorama Dr, San Francisco, CA 94131. The listed phone number is (415) 770-0710.

What is Kimberly Rudy's specialty?

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

Is Kimberly Rudy enrolled in Medicare?

Yes. Kimberly Rudy is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kimberly Rudy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Rudy reassigns Medicare benefits to 2 organizations: Grow Healthcare Group PC (San Jose, CA) and Blue Moon Senior Counseling Of California LLC (Plainfield, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kimberly Rudy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kimberly Rudy was last updated on August 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.