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AMANDA ILYSE RUDDERMAN LCSW
NPI 1538088554
Social Worker - Clinical in Richmond, VA

Active since July 13, 2026PECOS Enrolled
1218 W CLAY ST, RICHMOND, VA 23220(804) 546-9836 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

About Amanda Ilyse Rudderman Lcsw NPPES

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

AMANDA ILYSE RUDDERMAN LCSW (NPI 1538088554) is an individual clinical provider in Richmond, Virginia, licensed in Virginia (0904019894) and active in the NPI registry since July 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1538088554
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameAMANDA ILYSE RUDDERMANCredential: LCSW
Location Address1218 W CLAY STRichmond, VA 23220-2218
Mailing Address1218 W Clay StRichmond, VA 23220-2218
Phone(804) 546-9836
Sole ProprietorYes
Enumeration DateJuly 13, 2026
NPPES CertifiedJuly 14, 2026
✔ NPI 1538088554 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 VA · 0904019894
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.
1218 W CLAY ST, Richmond, VA 23220
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda Ilyse Rudderman Lcsw 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 23220 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 $56.19 – $170.30
Typical copayment $0.00 (range $14.04 – $42.57)
Most-billed visit code NA
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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.

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 Amanda Rudderman's NPI number?

The NPI number for Amanda Rudderman is 1538088554. It was assigned to this individual provider in the NPPES registry on July 13, 2026.

Where is Amanda Rudderman located?

Amanda Rudderman practices at 1218 W Clay St, Richmond, VA 23220. The listed phone number is (804) 546-9836.

What is Amanda Rudderman's specialty?

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

Is Amanda Rudderman enrolled in Medicare?

Yes. Amanda Rudderman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Amanda Rudderman was last updated on July 13, 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.