Individual provider Active NPI

Jeffrey Stephen Rodin, LCSW

  • Clinical Social Worker
  • Salem, OR
National Provider Identifier
1811468762
Registry record updated Dec 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L6006 Issued in OR
Practice address
2001 Commercial St SE Ste 200
Salem, OR 97302-5207
Phone
(503) 370-8050
Fax
(503) 370-9980
NPI assigned
Dec 17, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2018

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 L6006 OR Primary

Addresses

Primary practice location

2001 Commercial St SE Ste 200
Salem, OR 97302-5207

Mailing address

2001 Commercial St SE Ste 200
Salem, OR 97302-5207
Phone (503) 370-8050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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
I20230920001738 MT Practitioner - Clinical Social Worker 4688028988 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

512 N 29TH St
Suite 204
Billings, MT 59101-1113
Phone (503) 851-5340

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
L6006ORMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Biet Rapha Counseling Clinical CurrentSince Feb 1, 2025 Accepting new patients
Harvest Counseling Center LLC CurrentSince Aug 14, 2023 Accepting new patients
Salem Pastoral Counseling Center Clinical PastSince Feb 11, 2024 Accepting new patients

Locations

512 N 29th St
Ste 204
Billings, MT 59101
Phone (307) 254-5324

1320 Division St
Billings, MT 59101
Phone (406) 409-4541

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": "1545004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545004800000",
    "number": "1811468762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 COMMERCIAL ST SE STE 200",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973025207",
            "telephone_number": "503-370-8050",
            "fax_number": "503-370-9980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 COMMERCIAL ST SE STE 200",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973025207",
            "telephone_number": "503-370-8050",
            "fax_number": "503-370-9980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODIN",
        "first_name": "JEFFREY",
        "middle_name": "STEPHEN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-17",
        "last_updated": "2018-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L6006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

Verify at the official NPI Registry.