Individual provider Active NPI

Laura Lee Roden, MSW, LCSW

  • Clinical Social Worker
  • Tempe, AZ
National Provider Identifier
1316004476
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-0771 Issued in AZ
Practice address
2600 E Southern Ave Ste F1
Tempe, AZ 85282-7626
Phone
(480) 899-8474
Fax
(480) 899-1527
NPI assigned
Jan 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW-0771 AZ Primary

Addresses

Primary practice location

2600 E Southern Ave Ste F1
Tempe, AZ 85282-7626

Mailing address

2600 E Southern Ave Ste F1
Tempe, AZ 85282-7626
Phone (480) 899-8474

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 22, 2024 through Jan 22, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LCSW-0771AZMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Roden Behavioral Health, PLLC PastSince Mar 7, 2021 Accepting new patients

Organizations & group practices 1

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": "1167609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316004476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 E SOUTHERN AVE STE F1",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827626",
            "telephone_number": "480-899-8474",
            "fax_number": "480-899-1527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 E SOUTHERN AVE STE F1",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827626",
            "telephone_number": "480-899-8474",
            "fax_number": "480-899-1527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODEN",
        "first_name": "LAURA",
        "middle_name": "LEE",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-0771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.