BROOKLYN RODDENBERRY, LCSW, LLC – NPI #1003621251
Clinic/Center

BROOKLYN RODDENBERRY, LCSW, LLC is an AHC clinic located in TALLAHASSEE, FL. NPPES has assigned the NPI number 1003621251 to BROOKLYN RODDENBERRY, LCSW, LLC on February 12, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QM0801X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Mental Health (Including Community Mental Health Center)

The NPI profile was last updated on Aug 13, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BROOKLYN RODDENBERRY, LCSW, LLC below.

NPI Profile for
BROOKLYN RODDENBERRY, LCSW, LLC

NPI Number
1003621251
Enumeration Date

(more than a year ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BROOKLYN RODDENBERRY, LCSW, LLC
Primary location
325 JOHN KNOX ROAD
BUILDING T, SUITE 1
TALLAHASSEE, FL 32303
Phone: (850) 270-7099 Fax:
Mailing address
5332 FALLING STAR DR
TALLAHASSEE, FL 32303-7823
Phone: Fax:
Organization Subpart
No
Authorized Official
BROOKLYN RODDENBERRY
OWNER
Phone: (850) 519-3928
Updated
Certification Date
Aug 13, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.