Atlantic Therapy Associates

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05179700 Issued in NJ

Legal business name

ATLANTIC THERAPY ASSOCIATES

Practice address

1913 Atlantic Ave
Suite F5
Manasquan, NJ 08736-1029

Phone

(732) 223-3131

Fax

(732) 223-6262

NPI assigned

May 3, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Heidi Keller Rodrick, L.C.S.W.NPI 1053336008

Title

Owner

Phone

(732) 223-3131

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Heidi K Rodrick, L.C.S.W., L.C.A.D.C.

  • Clinical Social Worker
  • Manasquan, NJ
  • NPI 1053336008
  NPD (past) Authorized official

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407078876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1913 ATLANTIC AVE",
            "address_2": "SUITE F5",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087361029",
            "telephone_number": "732-223-3131",
            "fax_number": "732-223-6262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1913 ATLANTIC AVE",
            "address_2": "SUITE F5",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087361029",
            "telephone_number": "732-223-3131",
            "fax_number": "732-223-6262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC THERAPY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RODRICK",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_middle_name": "KELLER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-223-3131",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "L.C.S.W."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05179700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Atlantic ENT Associates, P.a.
• Atlantic Hematology Oncology Associates, LLC
• Atlantic Medicine and Wellness LLC
• Atlantic Neuropsychology and Psychotherapy Group
• Atlantic Physical Therapy Center
• Autism Movement Project, LLC
• Stefania Balasa, DDS
• Michael Balestrieri
• Valerie Ann Barba, DDS
• Summer Bardia, PA-C

• Clinical Social Worker in Manasquan, NJ
• Providers in Manasquan, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.