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JORDAN ELIZABETH RUDOLPH
NPI 1932550662
Social Worker - Clinical in Charlotte, NC

Active since June 23, 2016
5700 EXECUTIVE CENTER DR, CHARLOTTE, NC 28212(704) 525-3255 Get Directions Write a Review

NPPES record last updated: February 15, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Feb 15, 2020, Jan 31, 2019, Nov 20, 2018 and 3 more (6 updates tracked since 2016).

About Jordan Elizabeth Rudolph NPPES

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

JORDAN ELIZABETH RUDOLPH (NPI 1932550662) is an individual clinical provider in Charlotte, North Carolina and active in the NPI registry since June 2016. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1932550662
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJORDAN ELIZABETH RUDOLPH
Location Address5700 EXECUTIVE CENTER DRCharlotte, NC 28212-8858
Mailing Address5700 Executive Center DrCharlotte, NC 28212-8858 · (704) 525-3255
Phone(704) 525-3255
Sole ProprietorYes
Enumeration DateJune 23, 2016
Last NPPES UpdateFebruary 15, 20206 updates tracked since enumeration
✔ NPI 1932550662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
Also ListedCounselorTaxonomy 101Y00000X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedSocial WorkerTaxonomy 104100000X
5700 EXECUTIVE CENTER DR, Charlotte, NC 28212
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Secondary Practice Locations 2

Location 1902 S Myrtle Ave, 2nd FloorMonrovia, CA 91016 · Phone (626) 463-1021 ext. 1105
Location 23455 Percy StLos Angeles, CA 90023 · Phone (323) 268-2100 ext. 1105

Other Providers at the Same Location NPPES 20

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

EASTERSEALS UCP
Case Management
5700 EXECUTIVE CENTER DR, SUITE 110
CHARLOTTE, NC 28212
Mecklenburg County (704) 566-6040
LATARSHA ANN STEELE LCSWA
Social Worker (Clinical)
5700 EXECUTIVE CENTER DR, STE 200
CHARLOTTE, NC 28212
Mecklenburg County (704) 330-4338
LEEANNE THOMPSON-FORTE LCSW-A
Social Worker (Clinical)
5700 EXECUTIVE CENTER DR
CHARLOTTE, NC 28212
Mecklenburg County (803) 431-1132
KELLY L KELLERMAN LCSW
Social Worker (Clinical)
5700 EXECUTIVE CENTER DR, SUITE 110
CHARLOTTE, NC 28212
Mecklenburg County (704) 525-3255
MRS. ERIN L CAMPBELL OTRL
Occupational Therapist
5700 EXECUTIVE CENTER DR, SUITE 115
CHARLOTTE, NC 28212
Mecklenburg County (704) 566-6040
CORNERSTONE COMMUNITY OUTREACH
Community/Behavioral Health
5700 EXECUTIVE CENTER DR, SUITE 214
CHARLOTTE, NC 28212
Mecklenburg County (704) 817-7786
TRUE BEHAVIORAL HEALTHCARE, INC.
Community/Behavioral Health
5700 EXECUTIVE CENTER DR, SUITE 216
CHARLOTTE, NC 28212
Mecklenburg County (704) 566-3460
MISS TINA RENEE GREEN LCSW-A
Social Worker (Clinical)
5700 EXECUTIVE CENTER DR
CHARLOTTE, NC 28212
Mecklenburg County (803) 614-4503

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 Jordan Rudolph's NPI number?

The NPI number for Jordan Rudolph is 1932550662. It was assigned to this individual provider in the NPPES registry on June 23, 2016.

Where is Jordan Rudolph located?

Jordan Rudolph practices at 5700 Executive Center Dr, Charlotte, NC 28212. The listed phone number is (704) 525-3255.

What is Jordan Rudolph's specialty?

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

When was this NPI record last updated?

The NPPES record for Jordan Rudolph was last updated on February 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.