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

Mr. Roddy Tate Jr., MSWLCSWALCASA

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1164002606

Mr. Roddy Tate Jr., MSWLCSWALCASA is an Addiction (Substance Use Disorder) Counselor in Durham, North Carolina. Licensed in North Carolina. Registered with an NPI since 2021.

Licensed in
NC
In the registry since
2021
Specialties on file
3

Practice location Address checks out

2310 S Miami Blvd
Durham, NC 27703-5798
Phone: (202) 957-8747
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence P015924 (NC)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence LCAS-16563 (NC)
Mental Health Counselor Taxonomy 101YM0800X · Licence P015924 (NC)

Record details

NPI number1164002606
Entity typeIndividual (Type 1)
GenderMale
Credentials MSWLCSWALCASA
Sole proprietorNo
NPI enumeratedApril 9, 2021
Last updated in NPPESJune 3, 2021
Certification dateJune 3, 2021

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