Active NPI
Roderick Maul, RCSWI
- Clinical Social Worker
- Dade City, FL
National Provider Identifier
1689559668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- ISW21464
- Practice address
- 14445 7TH St
Dade City, FL 33523-3126 - Phone
- (352) 999-1483
- NPI assigned
- Aug 8, 2025
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | ISW21464 | FL | Primary |
Addresses
Primary practice location
14445 7TH St
Dade City, FL 33523-3126
Mailing address
14227 Riva Ridge PL
Ruskin, FL 33573-3302
Phone (205) 718-2793
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 |
|---|---|---|---|
| ISW21464 | FL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754611200000",
"number": "1689559668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14227 RIVA RIDGE PL",
"city": "RUSKIN",
"state": "FL",
"postal_code": "335733302",
"telephone_number": "205-718-2793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14445 7TH ST",
"city": "DADE CITY",
"state": "FL",
"postal_code": "335233126",
"telephone_number": "352-999-1483"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAUL",
"first_name": "RODERICK",
"credential": "RCSWI",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-08-08",
"last_updated": "2025-08-08",
"certification_date": "2025-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "ISW21464",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dade City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.