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

Jerald Rodman, LICSW

Individual provider Clinical Social Worker · NPI 1104427715

Jerald Rodman, LICSW is a Clinical Social Worker in Centralia, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2020
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2565 Kristine Ct
Centralia, WA 98531-8808
Phone: (509) 956-9286
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LW61055483 (WA)

Record details

NPI number1104427715
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorYes
NPI enumeratedNovember 2, 2020
Last updated in NPPESNovember 2, 2020
Certification dateNovember 2, 2020
Mailing address2565 Kristine Ct, Centralia, WA 98531-8808

Other providers in Centralia