Lucely D Rodriguez

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ISW03495 Issued in RI

Practice address

6 Utter St
North Providence, RI 02904-5324

Phone

(401) 376-3097

NPI assigned

May 3, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in RI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Clear Space MH, LLC

  • Clinical Social Worker
  • Providence, RI
  • NPI 1740918028
  Medicare reassignment NPD
• The Providence Center

  • Community/Behavioral Health Agency
  • Providence, RI
  • NPI 1134977598
  NPD (past)

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

{
    "created_epoch": "1462233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675987200000",
    "number": "1093160558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 N MAIN ST # 1171",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029045722",
            "telephone_number": "401-376-3093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 UTTER ST",
            "city": "NORTH PROVIDENCE",
            "state": "RI",
            "postal_code": "029045324",
            "telephone_number": "401-376-3097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "LUCELY",
        "middle_name": "D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-03",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW03495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Anderson Roberts, RD, LDN
• Melissa Robidoux, DPT
• Sara Rafael Rodrigues
• Evelyn G Rodriguez, DOULA
• Lisa Marie Rodriguez, PHARM.D.
• Rosalino Counseling Services
• Melissa Sabatini, LMHC
• Naftali Sabo, MD
• Saint Joseph's Radiology Associates, Inc.
• Salt of the Earth Counseling LLC

• Clinical Social Worker in North Providence, RI
• Providers in North Providence, RI by specialty
• Clinical Social Worker in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.