Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jason G Roderick, MSW, LICSW

Individual provider Mental Health Counselor · NPI 1700019254

Jason G Roderick, MSW, LICSW is a Mental Health Counselor in Providence, Rhode Island. Practices as a sole proprietor. Registered with an NPI since 2009.

In the registry since
2009
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

35 S Angell St
Providence, RI 02906-5206
Phone: (401) 439-4159
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1700019254
Entity typeIndividual (Type 1)
GenderMale
Credentials MSW , LICSW
Sole proprietorYes
NPI enumeratedSeptember 1, 2009
Last updated in NPPESOctober 4, 2012

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