| Jody Rodman Msw Lcsw Llc | |
|
44 Princeton Ave Brick NJ 08724-3550 | |
| (732) 840-0109 | |
| Not Available |
| Full Name | Jody Rodman Msw Lcsw Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 44 Princeton Ave, Brick, New Jersey |
| Authorized Official Name and Position | Jody A Rodman (OWNER) |
| Authorized Official Contact | 7328400109 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jody Rodman Msw Lcsw Llc 44 Princeton Ave Brick NJ 08724-3550 Ph: (732) 840-0109 | Jody Rodman Msw Lcsw Llc 44 Princeton Ave Brick NJ 08724-3550 Ph: (732) 840-0109 |
| NPI Number | 1407037757 |
|---|---|
| Provider Enumeration Date | 11/15/2007 |
| Last Update Date | 12/04/2007 |
| Medicare PECOS PAC ID | 2466469689 |
|---|---|
| Medicare Enrollment ID | O20060314000193 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407037757 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Jody A Rodman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457412496 PECOS PAC ID: 7416914981 Enrollment ID: I20041216000142 |
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