Provider Demographics
NPI:1194021881
Name:RODE, LAXMIKANT T (LCSW)
Entity type:Individual
Prefix:
First Name:LAXMIKANT
Middle Name:T
Last Name:RODE
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:218 N 2ND ST
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18102-3508
Mailing Address - Country:US
Mailing Address - Phone:484-640-1200
Mailing Address - Fax:484-640-1201
Practice Address - Street 1:218 N 2ND ST
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18102-3508
Practice Address - Country:US
Practice Address - Phone:484-640-1200
Practice Address - Fax:484-640-1201
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-28
Last Update Date:2024-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0243681041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical