Mr Roddy Tate Jr, MSW LCSWA LCASA is a
Social Worker - Clinical based in Durham, North Carolina. Mr Roddy Tate Jr is licensed to practice in North Carolina (license number P015924) and his current practice location is
2310 S Miami Blvd, Durham, North Carolina. He can be reached at his office (for appointments etc.) via phone at
(202) 957-8747.
NPI number for Mr Roddy Tate Jr is 1164002606 and his current mailing address is 329 Offerrell Street, Greensboro, North Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1164002606.
Healthcare Provider's Profile
Full Name | Mr Roddy Tate Jr |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 2310 S Miami Blvd, Durham, North Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1164002606
- Provider Enumeration Date: 04/09/2021
- Last Update Date: 06/03/2021
Medical Identifiers
Medical identifiers for Mr Roddy Tate Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1164002606 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | LCAS-16563 (North Carolina) | Secondary |
101YM0800X | Counselor - Mental Health | P015924 (North Carolina) | Secondary |
1041C0700X | Social Worker - Clinical | P015924 (North Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Roddy Tate Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Roddy Tate Jr, MSW LCSWA LCASA 329 Offerrell Street, Greensboro, NC 27405 Ph: (202) 957-8747 | Mr Roddy Tate Jr, MSW LCSWA LCASA 2310 S Miami Blvd, Durham, NC 27703-5798 Ph: (202) 957-8747 |
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