Organization Active NPI

Brooklyn Roddenberry, LCSW, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tallahassee, FL
National Provider Identifier
1003621251
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
BROOKLYN RODDENBERRY, LCSW, LLC
Practice address
325 John Knox Road
Building T, Suite 1
Tallahassee, FL 32303
Phone
(850) 270-7099
NPI assigned
Feb 12, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Brooklyn Love Roddenberry, LCSWNPI 1699514968
Title
Owner
Phone
(850) 519-3928

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

325 John Knox Road
Building T, Suite 1
Tallahassee, FL 32303

Mailing address

5332 Falling Star Dr
Tallahassee, FL 32303-7823

National Provider Directory

National Provider Directory

Locations

325 John Knox Rd
Ste 1
Tallahassee, FL 32303
Phone (850) 270-7099

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1739318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755043200000",
    "number": "1003621251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5332 FALLING STAR DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323037823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 JOHN KNOX ROAD",
            "address_2": "BUILDING T, SUITE 1",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "32303",
            "telephone_number": "850-270-7099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKLYN RODDENBERRY, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-12",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A",
        "authorized_official_last_name": "RODDENBERRY",
        "authorized_official_first_name": "BROOKLYN",
        "authorized_official_middle_name": "LOVE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-519-3928",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.