Marissa Amber Rodrigues

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

310 Waymont CT Ste 100
Lake Mary, FL 32746-3475

Phone

(407) 635-1979

NPI assigned

Jun 2, 2023

Last updated

Jun 2, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lake Mary Counseling

  • Mental Health Counselor
  • Lake Mary, FL
  • NPI 1932754561
  NPD
• LMC Debary LLC

  • Mental Health Counselor
  • Debary, FL
  • NPI 1255295853
  NPD (past)

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

{
    "created_epoch": "1685664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685664000000",
    "number": "1114611258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 BRIAR OAK WAY",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327248043",
            "telephone_number": "386-747-5702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 WAYMONT CT STE 100",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327463475",
            "telephone_number": "407-635-1979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUES",
        "first_name": "MARISSA",
        "middle_name": "AMBER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-02",
        "last_updated": "2023-06-02",
        "certification_date": "2023-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hayley Robinson
• Morgan Robinson
• Toi-Rae Nduka Robinson
• Breanna Sue Robison, LMHC
• Chelsea Monae Rodgers
• Amanda Caridad Rodriguez Hernandez
• Alejandro Rodriguez, MA, LMHC
• Alfred Rodriguez, M.D.
• Ana Teresa Rodriguez, LCSW
• Angela Rodriguez

• Clinical Social Worker in Lake Mary, FL
• Providers in Lake Mary, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.