Individual provider Active NPI

Jasmin Helene Roden, LLMSW

  • Social Worker
  • Marquette, MI
National Provider Identifier
1295238731
Registry record updated May 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801102130 Issued in MI
Practice address
200 W Spring St
Marquette, MI 49855-4661
Phone
(906) 226-4847
Fax
(069) 225-7203
NPI assigned
Mar 12, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801102130 MI Primary

Addresses

Primary practice location

200 W Spring St
Marquette, MI 49855-4661

Mailing address

200 W Spring St
Marquette, MI 49855-4661
Phone (906) 226-4847

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210319000647 MI Practitioner - Clinical Social Worker 3274940259 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801102130MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways CurrentSince Mar 15, 2021 Accepting new patients
Caught Dreamin' Therapy, LLC Clinical PastSince Jan 7, 2024 Accepting new patients
Great Lakes Recovery Centers Past Accepting new patients
Great Lakes Recovery Centers Past Accepting new patients

Locations

200 W Spring St
Marquette, MI 49855
Phone (906) 225-1181

601 W Superior St
Munising, MI 49862
Phone (906) 387-3611

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1520812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684886400000",
    "number": "1295238731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W SPRING ST",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498554661",
            "telephone_number": "906-226-4847",
            "fax_number": "069-225-7203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W SPRING ST",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498554661",
            "telephone_number": "906-226-4847",
            "fax_number": "069-225-7203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODEN",
        "first_name": "JASMIN",
        "middle_name": "HELENE",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-12",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801102130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marquette, MI

Sources for this page

Verify at the official NPI Registry.