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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. RODDY TATE JR., MSW LCSWA LCASA

Active

MR. RODDY TATE JR., MSW LCSWA LCASA is a Clinical Social Worker healthcare provider located in DURHAM, North Carolina. NPI 1164002606 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · DURHAM, NC

Registration Details

NPI Number
1164002606
Provider Type
Individual
Gender
Male
NPI Issued
Apr 9, 2021 (5.3698196629285 yrs)
Last Updated
Jun 3, 2021
Licenses
LCAS-16563 (NC)
P015924 (NC)
P015924 (NC)

Practice Information

Address
2310 S MIAMI BLVD
DURHAM, NC, 277035798
Browse NC providers · Browse ZIP 27703
Phone
2029578747
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
Mental Health Counselor
Additional Specialty
Clinical Social Worker

Other Clinical Social Worker Providers in DURHAM, NC

Name Credential NPI
PETER STERRETT LCSW 1033111398
JOHN THOMAS WITCHGER LMHP LADC 1235121385
MS. VIRGINIA BRISTOL MSW 1437132446
MILDRED HARRIS 1023091832
SANDRA JEAN PREISSLER LCSW 1861463408
MS. MARY CATHRYN COLE LCSW 1164481347
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.