David Roden, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

44SC05216500 Issued in NJ

Practice address

22 Minerva Ave
Manasquan, NJ 08736-3118

Phone

(732) 946-3030

Fax

(732) 946-4891

NPI assigned

Jan 3, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1164589347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 MINERVA AVE",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087363118",
            "telephone_number": "732-946-3030",
            "fax_number": "732-946-4891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 MINERVA AVE",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087363118",
            "telephone_number": "732-946-3030",
            "fax_number": "732-946-4891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODEN",
        "first_name": "DAVID",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "44SC05216500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0047732",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marietta Richman, OD, MPH
• Peter A Rienzo, M.D.
• Sheila M Riesco
• Erin Riley, PA-C, RD
• Shannon B Rittberg, D.O.
• Heidi K Rodrick, L.C.S.W., L.C.A.D.C.
• Gregory J Roehrig, MD
• Jacqueline Rogers
• Valerie Anna Rosko, MSPT
• Bryan Ross, O.D.

• Mental Health Counselor in Manasquan, NJ
• Providers in Manasquan, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.