Active NPI
Jamie Melissa Rodriguez, LSW
- Clinical Social Worker
- Honolulu, HI
National Provider Identifier
1053193797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW-5357
- Practice address
- 1100 Ward Ave Ste 840
Honolulu, HI 96814-1610 - Phone
- (808) 522-4521
- Fax
- (808) 522-3526
- NPI assigned
- Oct 17, 2023
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW-5357 | HI | Primary |
Addresses
Primary practice location
1100 Ward Ave Ste 840
Honolulu, HI 96814-1610
Mailing address
1100 Ward Ave Ste 840
Honolulu, HI 96814-1610
Phone (808) 522-4521
Other practice location 1
200 N Vineyard Blvd
Honolulu, HI 96817-3950
Phone (808) 490-1668
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
55 Merchant St
Honolulu, HI 96813-4333
PO Box
Suite 740241
Los Angeles, CA 90074-0241
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW-5357 | HI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sandal Gap Comprehensive Services | Clinical | Past | Accepting new patients |
Networks
- devoted network organization-c89d4c14-e90f-4cf7-83f9-456527a52335
- HI PPO
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776211200000",
"number": "1053193797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 WARD AVE STE 840",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968141610",
"telephone_number": "808-522-4521",
"fax_number": "808-522-3526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 WARD AVE STE 840",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968141610",
"telephone_number": "808-522-4521",
"fax_number": "808-522-3526"
}
],
"practiceLocations": [
{
"address_1": "200 N Vineyard Blvd",
"address_purpose": "LOCATION",
"city": "Honolulu",
"state": "HI",
"postal_code": "968173950",
"country_code": "US",
"telephone_number": "808-490-1668",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "JAMIE",
"middle_name": "MELISSA",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-17",
"last_updated": "2026-04-15",
"certification_date": "2026-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "HI",
"license": "LCSW-5357",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.