Jessica J Rodd, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0890000273 Issued in VT

Practice address

183 Talcott Rd
C/O Associates at the Gables Suite 206
Williston, VT 05495-2089

Phone

(802) 876-1100

Fax

(802) 876-1101

NPI assigned

Aug 8, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in VT

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

Specialty

Clinical Social Worker

Education

Fordham University School of Medicine, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260662400000",
    "number": "1922018365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "183 TALCOTT RD",
            "address_2": "C/O ASSOCIATES AT THE GABLES SUITE 206",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054952089",
            "telephone_number": "802-876-1100",
            "fax_number": "802-876-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "183 TALCOTT RD",
            "address_2": "C/O ASSOCIATES AT THE GABLES SUITE 206",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054952089",
            "telephone_number": "802-876-1100",
            "fax_number": "802-876-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODD",
        "first_name": "JESSICA",
        "middle_name": "J",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2009-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "0890000273",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1008866",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "18079",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Riden, LCMHC
• Warren Rinehart, M.D.
• Rite Aid
• Alissa C Robertson, M.S., R.D.
• Taylor Robichaud
• Sarah Rogers
• Gretchen Ross
• Kaitlin Mary Rowe
• Shannon R Russom, N.P.
• Thomas Patrick Ryan Jr., RPH

• Clinical Social Worker in Williston, VT
• Providers in Williston, VT by specialty
• Clinical Social Worker in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.