Provider Demographics
NPI:1497058366
Name:RUDGERS, CHERI FLAIG (LCSW)
Entity Type:Individual
Prefix:MS
First Name:CHERI
Middle Name:FLAIG
Last Name:RUDGERS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 PERRY HILL RD
Mailing Address - Street 2:SOCIAL WORK SERVICES
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36109-3725
Mailing Address - Country:US
Mailing Address - Phone:334-272-4670
Mailing Address - Fax:
Practice Address - Street 1:201 9TH STREET
Practice Address - Street 2:SOCIAL WORK SERVICES
Practice Address - City:MARINA
Practice Address - State:CA
Practice Address - Zip Code:93933
Practice Address - Country:US
Practice Address - Phone:831-884-1019
Practice Address - Fax:831-884-1014
Is Sole Proprietor?:No
Enumeration Date:2010-12-14
Last Update Date:2019-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2119C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical