Active NPI
Michelle Rodriguez, LMSW
- Social Worker
- Rockville Centre, NY
National Provider Identifier
1043935174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 117818-01
- Practice address
- 165 N Village Ave
Rockville Centre, NY 11570-3761 - Phone
- (631) 252-6945
- NPI assigned
- Oct 11, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 117818-01 | NY | Primary |
Addresses
Primary practice location
165 N Village Ave
Rockville Centre, NY 11570-3761
Mailing address
720 S 5TH St
Lindenhurst, NY 11757-5622
Phone (631) 252-6945
Other practice location 1
1428 5th Ave
Bay Shore, NY 11706-4147
Phone (631) 665-1900 ext. 373
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 |
|---|---|---|---|
| 117818-01 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726099200000",
"number": "1043935174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 S 5TH ST",
"city": "LINDENHURST",
"state": "NY",
"postal_code": "117575622",
"telephone_number": "631-252-6945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "165 N VILLAGE AVE",
"city": "ROCKVILLE CENTRE",
"state": "NY",
"postal_code": "115703761",
"telephone_number": "631-252-6945"
}
],
"practiceLocations": [
{
"address_1": "1428 5th Ave",
"address_purpose": "LOCATION",
"city": "Bay Shore",
"state": "NY",
"postal_code": "117064147",
"country_code": "US",
"telephone_number": "631-665-1900 x373",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "MICHELLE",
"name_prefix": "Ms.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-11",
"last_updated": "2024-09-12",
"certification_date": "2024-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "117818-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockville Centre, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.