Individual provider · Type 1 NPI

Jerald Rodman, LICSW

Clinical Social Worker · Centralia, WA

NPI number 1104427715 Active

Practice location

2565 Kristine Ct
Centralia, WA 98531-8808

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLW61055483 (WA)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1104427715

Jerald Rodman, LICSW's National Provider Identifier is 1104427715, issued on Nov 2, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Centralia, WA. The record was last updated on Nov 2, 2020.