Jediedjah Moshe Rodrigues Pereira, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05605500 Issued in NJ

Practice address

1212 Todd CT
Lakewood, NJ 08701-2256

Phone

(732) 814-4648

NPI assigned

Mar 4, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Congregation Torath Chaim Raintree

  • Community/Behavioral Health Agency
  • Linwood, NJ
  • NPI 1225406762
  NPD Authorized official
• CCC Counseling Inc

  • Community/Behavioral Health Agency
  • Lakewood, NJ
  • NPI 1366848582

  Clinical

  NPD

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

{
    "created_epoch": "1362355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466035200000",
    "number": "1720329576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 TODD CT",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087012256",
            "telephone_number": "732-814-4648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 TODD CT",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087012256",
            "telephone_number": "732-814-4648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUES PEREIRA",
        "first_name": "JEDIEDJAH",
        "middle_name": "MOSHE",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-04",
        "last_updated": "2016-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05605500",
            "primary": true
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC0021100",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beth Robinson
• Jerome Robinson, ED.S, LPC, LCADC
• Sara Robinson
• Kelly I Rodenbach, MS CCC-SLP
• Devorah Rodrigues Pereira
• Anais Rodriguez
• Erica E Rodriguez, LCSW
• Kaitlin Rodriguez, APN
• Henya Rokach
• Baila G. Rokeach

• Clinical Social Worker in Lakewood, NJ
• Providers in Lakewood, 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 Jun 16, 2016; 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.