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MR. KENNETH EARL RUDOLPH
NPI 1720564917
Social Worker - Clinical in Lynchburg, VA

Active since July 11, 2018
1600 LAKESIDE DR, LYNCHBURG, VA 24501(434) 363-7219 Get Directions Write a Review

NPPES record last updated: March 16, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 16, 2026, Mar 7, 2025, Aug 20, 2018 and 1 more (4 updates tracked since 2018).

About Mr. Kenneth Earl Rudolph NPPES

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

MR. KENNETH EARL RUDOLPH (NPI 1720564917) is an individual clinical provider in Lynchburg, Virginia, licensed in Texas (62252) and active in the NPI registry since July 2018.

NPPES Registry Identity

NPI1720564917
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. KENNETH EARL RUDOLPH
Location Address1600 LAKESIDE DRLynchburg, VA 24501-3116
Mailing Address1600 Lakeside DrLynchburg, VA 24501-3116 · (434) 363-7219
Phone(434) 363-7219
Sole ProprietorNo
Enumeration DateJuly 11, 2018
Last NPPES UpdateMarch 16, 20264 updates tracked since enumeration
NPPES CertifiedMarch 16, 2026
✔ NPI 1720564917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in TX · 62252✔ Licensed in VA · 0904018643
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.
1600 LAKESIDE DR, Lynchburg, VA 24501
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Other Providers at the Same Location NPPES 18

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

MS. NARDA KAY SAUNDERS L.I.C.S.W.
Social Worker (Clinical)
1600 LAKESIDE DR
LYNCHBURG, VA 24501
Campbell County (434) 316-5000
TOBY DAVID FOSTER MSN, CRNP
Nurse Practitioner (Family)
1600 LAKESIDE DR
LYNCHBURG, VA 24501
Campbell County (434) 316-5000
DR. DARYL H YODER M.D.
Psychiatry & Neurology (Psychiatry)
1600 LAKESIDE DR
LYNCHBURG, VA 24501
Campbell County (434) 316-5000
MS. DANA DOROTHY HAWKINS LCSW
Social Worker (Clinical)
1600 LAKESIDE DR
LYNCHBURG, VA 24501
Campbell County (434) 316-5000
DELLA TYREE HUNT
Registered Nurse (Psychiatric/Mental Health, Adult)
1600 LAKESIDE DR
LYNCHBURG, VA 24501
Campbell County (434) 713-4747
DANA GRANT
Registered Nurse
1600 LAKESIDE DR
LYNCHBURG, VA 24501
Campbell County (434) 316-5000
STEPHANIE LEIGH TAYLOR RN
Registered Nurse
1600 LAKESIDE DR
LYNCHBURG, VA 24501
Campbell County (434) 316-5000
KAREN ANN CAMPBELL MD
Family Medicine
1600 LAKESIDE DR
LYNCHBURG, VA 24501
Campbell County (434) 316-5000

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 Kenneth Rudolph's NPI number?

The NPI number for Kenneth Rudolph is 1720564917. It was assigned to this individual provider in the NPPES registry on July 11, 2018.

Where is Kenneth Rudolph located?

Kenneth Rudolph practices at 1600 Lakeside Dr, Lynchburg, VA 24501. The listed phone number is (434) 363-7219.

What is Kenneth Rudolph's specialty?

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

What insurance does Kenneth Rudolph accept?

Health plans from Blue Cross and Blue Shield of Texas list Kenneth Rudolph as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kenneth Rudolph was last updated on March 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.