Individual provider Active NPI

Jody Ann Rodman, M.S.W., L.C.S.W

  • Clinical Social Worker
  • Brick, NJ
National Provider Identifier
1457412496
Registry record updated Apr 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05200500 Issued in NJ
Practice address
44 Princeton Ave
Brick, NJ 08724-3550
Phone
(732) 840-0109
Fax
(732) 840-0962
NPI assigned
Dec 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2008

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 44SC05200500 NJ 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
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
I20041216000142 NJ Practitioner - Clinical Social Worker 7416914981 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

44 Princeton Ave
Brick, NJ 08724-3550
Phone (732) 840-0109

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jody Rodman MSW LCSW LLC CurrentSince Apr 3, 2006 Accepting new patients
Wellspring Counseling Center PastSince Sep 1, 2003 Accepting new patients
Bridges Behavioral Health Care Past Accepting new patients

Locations

44 Princeton Ave
Brick, NJ 08724
Phone (732) 245-8512

Organizations & group practices 3

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": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207872000000",
    "number": "1457412496",
    "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",
            "fax_number": "732-840-0962"
        },
        {
            "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",
            "fax_number": "732-840-0962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODMAN",
        "first_name": "JODY",
        "middle_name": "ANN",
        "credential": "M.S.W., L.C.S.W",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2008-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05200500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, NJ

Sources for this page

Verify at the official NPI Registry.