Active NPI
Deirdre Rodrigues, LCSW
- Clinical Social Worker
- New Gloucester, ME
National Provider Identifier
1033822622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LC6484
- Practice address
- 105 Bluff Cir
New Gloucester, ME 04260-4231 - Phone
- (207) 317-1257
- NPI assigned
- Dec 29, 2022
- Last updated
- Dec 29, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LC6484 | ME | Primary |
Addresses
Primary practice location
105 Bluff Cir
New Gloucester, ME 04260-4231
Mailing address
105 Bluff Cir
New Gloucester, ME 04260-4231
Phone (207) 317-1257
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC6484 | ME | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672272000000",
"number": "1033822622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 BLUFF CIR",
"city": "NEW GLOUCESTER",
"state": "ME",
"postal_code": "042604231",
"telephone_number": "207-317-1257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 BLUFF CIR",
"city": "NEW GLOUCESTER",
"state": "ME",
"postal_code": "042604231",
"telephone_number": "207-317-1257"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUES",
"first_name": "DEIRDRE",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-12-29",
"last_updated": "2022-12-29",
"certification_date": "2022-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ME",
"license": "LC6484",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Gloucester, ME
- Pine Tree Home Health Care Inc.
- Kathleen L Plante
- Nancy Risher Porter, OTR/L
- Wendy Susan Ray, LCSW
- Lindsey J Redgate, BCBA
- Saco Bay Orthopaedic and Sports Physical Therapy, Inc. (Saco Bay Orthopaedic Sports & Physical Therapy)
- Richard Urbain Sirois, MS, LATC, CSCS
- Jonathan Smolin, CST FA
- Katheryne Morgan Stinson, IPDH
- Louis C. Talarico II, D.P.M. & M.S. ED.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.