Active NPI
Sam Eli Rodriguez
- Social Worker
- Edgewood, MD
National Provider Identifier
1083577944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 34161
- Practice address
- 2120 Emmorton Park Rd Ste E
Edgewood, MD 21040-1066 - Phone
- (443) 402-1925
- NPI assigned
- Dec 8, 2025
- Sex
- Unspecified or another gender identity
- 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 | 34161 | MD | Primary |
Addresses
Primary practice location
2120 Emmorton Park Rd Ste E
Edgewood, MD 21040-1066
Mailing address
8365 Distinctive Dr
San Diego, CA 92108-2600
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 |
|---|---|---|---|
| 34161 | MD | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1765152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765152000000",
"number": "1083577944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8365 DISTINCTIVE DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921082600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2120 EMMORTON PARK RD STE E",
"city": "EDGEWOOD",
"state": "MD",
"postal_code": "210401066",
"telephone_number": "443-402-1925"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "SAM",
"middle_name": "ELI",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2025-12-08",
"last_updated": "2025-12-08",
"certification_date": "2025-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "34161",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edgewood, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.