MARY DIASO RUDY L.C.S.W.
NPI 1518355585
Social Worker - Clinical in Berkeley, CA
About Mary Diaso Rudy L.c.s.w. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY DIASO RUDY L.C.S.W. (NPI 1518355585) is an individual clinical provider in Berkeley, California, licensed in California (LCS9718) and active in the NPI registry since December 2014. She has opted out of Medicare through October 1, 2027 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Mary Diaso Rudy L.c.s.w. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2017 through October 1, 2027.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94705 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 16
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Mary Rudy's NPI number?
The NPI number for Mary Rudy is 1518355585. It was assigned to this individual provider in the NPPES registry on December 29, 2014.
Where is Mary Rudy located?
Mary Rudy practices at 2127 Ashby Ave, Berkeley, CA 94705. The listed phone number is (510) 540-6678.
What is Mary Rudy's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Mary Rudy enrolled in Medicare?
No. Mary Rudy has opted out of Medicare through October 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
When was this NPI record last updated?
The NPPES record for Mary Rudy was last updated on December 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.
# Mary Diaso Rudy, L.C.S.W. · NPI 1518355585
Clinical provider in Berkeley, California. Individual provider, active in the CMS NPPES registry since December 29, 2014.
## Identity
- **NPI:** 1518355585 (Entity type: Individual)
- **Enumerated:** December 29, 2014
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** LCS9718 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2127 ASHBY AVE, Berkeley, CA 94705-1884
- **Phone:** (510) 540-6678
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through October 1, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** December 29, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1518355585) · Data from the CMS NPPES public registry.