| Doctor Name: | MRS. HEIDI K RODRICK |
| NPI Number: | 1053336008 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | L.C.S.W., L.C.A.D.C. |
| License Number: | 44SC05179700 |
| Business Practice Address: | 1913 Atlantic Ave Suite F5 Manasquan, NJ - 087361029 |
| Business Phone Number: | 7322233131 |
| Business Fax Number: | 7322236262 |
| Mailing Address: | 1913 Atlantic Ave, Suite F5 MANASQUAN |
| State: | NJ |
| Postal Code: | 087361029 |
| Phone Number: | 7322233131 |
| Fax Number: | 7322236262 |
| NPI Enumeration Date: | 07/12/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 44SC05179700 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |