Active NPI
Jody Rodman MSW LCSW LLC
- Adult Mental Health Clinic/Center
- Brick, NJ
National Provider Identifier
1407037757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- JODY RODMAN MSW LCSW LLC
- Practice address
- 44 Princeton Ave
Brick, NJ 08724-3550 - Phone
- (732) 840-0109
- NPI assigned
- Nov 15, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jody A Rodman, MSW LCSW
- Title
- Owner
- Phone
- (732) 840-0109
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | Primary |
Addresses
Primary practice location
44 Princeton Ave
Brick, NJ 08724-3550
Mailing address
44 Princeton Ave
Brick, NJ 08724-3550
Phone (732) 840-0109
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Brick, NJ
- NPI 1457412496
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195084800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1196726400000",
"number": "1407037757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44 PRINCETON AVE",
"city": "BRICK",
"state": "NJ",
"postal_code": "087243550",
"telephone_number": "732-840-0109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44 PRINCETON AVE",
"city": "BRICK",
"state": "NJ",
"postal_code": "087243550",
"telephone_number": "732-840-0109"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JODY RODMAN MSW LCSW LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-15",
"last_updated": "2007-12-04",
"status": "A",
"authorized_official_last_name": "RODMAN",
"authorized_official_first_name": "JODY",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "732-840-0109",
"authorized_official_credential": "MSW LCSW"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.