TRACI RUDOLF-HANRAHAN (NPI# 1407307499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407307499 |
| Entity Type | Individual |
| Full Name | TRACI RUDOLF-HANRAHAN |
| Credential | LMSW |
| Practice Address |
310 North Buxton Street Indianola IA 50125 |
| Practice Telephone | 5153587610 |
| Mailing Telephone | 5153587610 |
| Enumeration Date | 2016-10-14 |
| Last Update Date | 2016-10-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
082265 | IA | Behavioral Health & Social Service Providers |
| Street Address |
310 NORTH BUXTON STREET |
| City | INDIANOLA |
| State | IA |
| Zip Code | 50125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316583107 | Mach3 Physical Therapy and Wellness | Clinic/Center | 938 East Hillcrest Ave, Suite A, Indianola, IA 50125 | 2019-11-27 |
| 1023667995 | Bonnie Dufault | Technician | 2402 West Euclid Ave, Indiana, IA 50125 | 2019-09-04 |
| 1548544216 | Long Term Medical Supply Corp | Durable Medical Equipment & Medical Supplies | 126 N Howard St, Suite 102, Indianola, IA 50125 | 2011-09-29 |
| 1629272836 | Michael James Hadden | Specialist/Technologist | Simpson College, 701 North C Street, Indianola, IA 50125 | 2007-06-12 |
| 1245440221 | Indianola Ia Assisted Living | Assisted Living Facility | 608 South 15th St., Indianola, IA 50125 | 2007-05-22 |
| 1689769432 | Michele Tingle | Emergency Medicine | 9128 87th Ln, Indianola, IA 50125 | 2006-10-04 |
| 1538114764 | Sue Marie Peterson | Specialist/Technologist | 1507 N 1st St, Indianola, IA 50125 | 2006-05-24 |
| 1124079934 | Jonathan P Anderson | Optometrist | 225 W Ashland, Ste 1, Indianola, IA 50125 | 2006-05-15 |
| 1528025533 | Jessica A Espenmiller | Occupational Therapist | 1507 North 1st St, Indianola, IA 50125 | 2006-04-26 |
| 1619947199 | City of Indianola | Ambulance | 110 N First, Indianola, IA 50125 | 2006-01-25 |
| Find all providers in zip 50125 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457648925 | Rose Ann Dickinson | Social Worker | 111 N Buxton St Rm 117, Indianola, IA 50125-2412 | 2011-07-06 |
| 1043518988 | Jana Newton Donahoe | Social Worker | 400 E Percy St, Indianola, MS 38751-2544 | 2011-03-01 |
| 1902138076 | Bailey Saal | Social Worker | 1202 E 2nd Ave, Indianola, IA 50125-2802 | 2010-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669070777 | Carlie Shannon | Social Worker | 736 Federal St., Ste. 1-103, Davenport, IA 52803-5768 | 2020-10-12 |
| 1780281444 | Cedar Vista Counseling, LLC | Social Worker | 1231 Park Pl Ne Ste L1, Cedar Rapids, IA 52402-2013 | 2020-10-06 |
| 1407463722 | Beth Garza | Social Worker | 2600 Dodge St Ste A-1, Dubuque, IA 52003-7159 | 2020-09-30 |
| 1255948378 | Restore Therapy and Counseling, Plc | Social Worker | 24 19th St Sw, Sioux Center, IA 51250-1194 | 2020-09-24 |
| 1023624913 | Be Well Healing Services, LLC | Social Worker | 1226 Sunset St, Iowa City, IA 52246-4942 | 2020-09-16 |
| 1972117679 | Megan F Caballero | Social Worker | 1538 Alder Dr, North Liberty, IA 52317-4714 | 2020-09-01 |
| 1093327173 | Joanne Alvorez | Social Worker | 728 Erie Street, Storm Lake, IA 50588 | 2020-08-19 |
| 1013529114 | Keli Hagen Lisw, Pllc | Social Worker | 4403 1st Ave Se Ste 412, Cedar Rapids, IA 52402-3221 | 2020-08-19 |
| 1629687850 | Schuur Counseling & Consulting LLC | Social Worker | 679 14th St Ne, Mason City, IA 50401-2350 | 2020-07-23 |
| 1366060584 | Rural Behavioral Health, LLC | Social Worker | 2212 Ironwood Ct, Ames, IA 50014-7872 | 2020-07-14 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.