Individual provider · Type 1 NPI

Roddy Tate Jr., MSW LCSWA LCASA

Clinical Social Worker · Durham, NC

NPI number 1164002606 Active

Practice location

2310 S Miami Blvd
Durham, NC 27703-5798

Call (202) 957-8747 Map

Mailing address

329 Offerrell Street
Greensboro, NC 27405

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XLCAS-16563 (NC)
Mental Health Counselor 101YM0800XP015924 (NC)
Clinical Social Worker Primary 1041C0700XP015924 (NC)

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 1164002606

Roddy Tate Jr., MSW LCSWA LCASA's National Provider Identifier is 1164002606, issued on Apr 9, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Durham, NC. The record was last updated on Jun 3, 2021.