National Provider Identifier
Shannon Rudy, LCSW
Shannon Rudy, LCSW is listed in the NPPES registry with a primary specialty of Social Worker in Rochester, NY and a listed phone number of (585) 210-8939.
Profile Overview
- NPI
- 1063924827
- Provider Type
- Individual
- Primary Specialty
- Social Worker
- Enumeration Date
- November 01, 2017
- Last Updated
- March 05, 2025
Practice Location
- 1081 Long Pond RD Ste 100
- Rochester, NY 14626-5002
Phone: (585) 210-8939
Specialties
- Social Worker (104100000X)
Full Record
- NPI
- 1063924827
- Entity Type
- Individual
- Last Name
- Rudy
- First Name
- Shannon
- Credential
- LCSW
- Mailing Street Address
- 1081 Long Pond RD Ste 100
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14626-5002
- Mailing Country
- US
- Mailing Phone
- (585) 210-8939
- Mailing Fax
- (585) 371-6464
- Practice Street Address
- 1081 Long Pond RD Ste 100
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14626-5002
- Practice Country
- US
- Practice Phone
- (585) 210-8939
- Practice Fax
- (585) 371-6464
- Enumeration Date
- November 01, 2017
- Last Updated
- March 05, 2025
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- March 05, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Social Worker (104100000X)