Jeffrey Alan Rodell, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW14907 Issued in FL

Practice address

10000 Bay Pines Blvd
Bay Pines, FL 33744-8200

Phone

(727) 398-6661

NPI assigned

Oct 17, 2019

Last updated

Oct 17, 2019By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1571270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571270400000",
    "number": "1396387767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "779 49TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337033728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 BAY PINES BLVD",
            "city": "BAY PINES",
            "state": "FL",
            "postal_code": "337448200",
            "telephone_number": "727-398-6661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODELL",
        "first_name": "JEFFREY",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-17",
        "last_updated": "2019-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW14907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shakira Melina Rivera, RD
• James M. Roa, D.O.
• Cynthia Roberts, MSSW
• Dominique Robinson
• Cheryl Anne Rockwell, ARNP
• Stephanie Rodriguez Santiago, M.D.
• Robin Colette Rodriguez, R.K.T.
• Linda B. Rolston, PHARM.D., C.G.P.
• Lorie Lycette Roman, PHARM. D.
• Gloria Jean Romero

• Clinical Social Worker in Bay Pines, FL
• Providers in Bay Pines, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2019; 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.