Provider Demographics
NPI:1902994957
Name:SINGLETON, RODERICK DUANE (MSW)
Entity type:Individual
Prefix:
First Name:RODERICK
Middle Name:DUANE
Last Name:SINGLETON
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 RYERSON AVE FL 2
Mailing Address - Street 2:
Mailing Address - City:PATERSON
Mailing Address - State:NJ
Mailing Address - Zip Code:07502-2134
Mailing Address - Country:US
Mailing Address - Phone:976-595-5759
Mailing Address - Fax:
Practice Address - Street 1:385 TREMONT AVE # 12-199
Practice Address - Street 2:
Practice Address - City:EAST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07018-1023
Practice Address - Country:US
Practice Address - Phone:976-676-1000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker