Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Gina Rodericks, LMFT

Individual provider Social Worker · NPI 1376068932

Gina Rodericks, LMFT is a Marriage and Family Therapist in Roseville, California. Qualified in 2017, 9 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
9
Licensed in
CA
In the registry since
2017
Specialties on file
3
What do these letters mean?
LMFT — Licensed Marriage and Family Therapist
A therapist licensed to treat couples and families.

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Practice location Address checks out

1620 Santa Clara Dr Ste 100
Roseville, CA 95661-3559
Phone: (916) 671-2101
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 135002 (CA)
Social Worker Taxonomy 104100000X (CA)
Social Worker Taxonomy 104100000X · Licence 103238 (CA)

Record details

NPI number1376068932
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMFT
Sole proprietorNo
NPI enumeratedAugust 4, 2017
Last updated in NPPESDecember 15, 2022
Certification dateDecember 15, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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