Kendra Leigh Rodriguez, LSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

S.1700730 Issued in OH

Practice address

3478 W Elm St
Lima, OH 45807-2225

Phone

(419) 335-6122

Fax

(419) 318-4157

NPI assigned

Aug 24, 2017

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Kendra Leigh Vermillion Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Antonia Jensen & Associates, LLC

  • Clinical Social Worker
  • Wauseon, OH
  • NPI 1093772733
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1503532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685577600000",
    "number": "1083131726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 146",
            "city": "WAUSEON",
            "state": "OH",
            "postal_code": "435670146",
            "telephone_number": "419-335-6122",
            "fax_number": "419-318-4157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3478 W ELM ST",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458072225",
            "telephone_number": "419-335-6122",
            "fax_number": "419-318-4157"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "889 Ralston Ave",
            "address_purpose": "LOCATION",
            "city": "Defiance",
            "state": "OH",
            "postal_code": "435121505",
            "country_code": "US",
            "telephone_number": "419-335-6122",
            "fax_number": "419-318-4157",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "KENDRA",
        "middle_name": "LEIGH",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-24",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "1700730",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "S.1700730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KENDRA",
            "last_name": "VERMILLION",
            "middle_name": "LEIGH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ac Rocquemore
• Kathryn Rode, PA-C
• Juan Rodriguez Vela
• Christine Rodriguez, CNP
• Hector Y Rodriguez, MD
• Robin Rodriguez, LPN
• Stephanie Lynn Rodriguez, CNP
• Austin Jerome Roebke, MD
• Kayden Roeder
• Aleigha Renee Roessler

• Clinical Social Worker in Lima, OH
• Providers in Lima, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.