Active NPI
Joy K Roderick
- Social Worker
- Akron, OH
National Provider Identifier
1649822610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S.1450947
- Practice address
- 205 E Crosier St
Akron, OH 44311-2351 - Phone
- (912) 270-2090
- NPI assigned
- Jul 10, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | S.1450947 | OH | Primary |
Addresses
Primary practice location
205 E Crosier St
Akron, OH 44311-2351
Mailing address
4630 Dresher TRL
Stow, OH 44224-2007
Phone (912) 270-2090
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S.1450947 | OH | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562716800000",
"number": "1649822610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4630 DRESHER TRL",
"city": "STOW",
"state": "OH",
"postal_code": "442242007",
"telephone_number": "912-270-2090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 E CROSIER ST",
"city": "AKRON",
"state": "OH",
"postal_code": "443112351",
"telephone_number": "912-270-2090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODERICK",
"first_name": "JOY",
"middle_name": "K",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-10",
"last_updated": "2019-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S.1450947",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Akron, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.