Active NPI
Ignacio Rodriguez Jr., LBSW
- Social Worker
- Glendale, AZ
National Provider Identifier
1063132942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LBSW-16949
- Practice address
- 5653 N 64TH Ave
Glendale, Az 85301
Glendale, AZ 85301 - Phone
- (773) 822-7001
- NPI assigned
- Aug 31, 2022
- Last updated
- Aug 31, 2022
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | LBSW-16949 | AZ | Primary |
Addresses
Primary practice location
5653 N 64TH Ave
Glendale, Az 85301
Glendale, AZ 85301
Mailing address
5653 N 64TH Ave
Glendale, Az 85301
Glendale, AZ 85301
Phone (773) 822-7001
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 |
|---|---|---|---|
| LBSW-16949 | AZ | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661904000000",
"number": "1063132942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5653 N 64TH AVE",
"address_2": "GLENDALE, AZ 85301",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "85301",
"telephone_number": "773-822-7001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5653 N 64TH AVE",
"address_2": "GLENDALE, AZ 85301",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "85301",
"telephone_number": "773-822-7001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "IGNACIO",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "LBSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-08-31",
"last_updated": "2022-08-31",
"certification_date": "2022-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "AZ",
"license": "LBSW-16949",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.