Katie Rodriguez, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

115818 Issued in NY

Practice address

1075 Broadway
Pleasantville, NY 10570-2346

Phone

(914) 773-6137

NPI assigned

Apr 11, 2022

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Jewish Child Care Association of New York Edenwald

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Pleasantville, NY
  • NPI 1083733596
  NPD (past)

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

{
    "created_epoch": "1649635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660262400000",
    "number": "1124760129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 S 10TH AVE",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105502919",
            "telephone_number": "718-674-4120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 BROADWAY",
            "city": "PLEASANTVILLE",
            "state": "NY",
            "postal_code": "105702346",
            "telephone_number": "914-773-6137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "KATIE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-11",
        "last_updated": "2022-08-12",
        "certification_date": "2022-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "115818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "myEvolve",
            "affiliation": "N",
            "endpointDescription": "myEvolv is an ONC-certified electronic health record (EHR) with comprehensive clinical, financial and operational features. It was designed specifically for organizations serving children and families, intellectual and developmental disabilities (I/DD), autism services, and behavioral health.",
            "address_1": "1075 Broadway",
            "city": "Pleasantville",
            "state": "NY",
            "country_code": "US",
            "postal_code": "105702346",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michael Riley
• Robert Castorina Physical Therapist, PC
• Ashley Elizabeth Robinson, PSYD
• Davida Darlene Robinson
• Solomon Robinson
• Scott W Rogers, D.M.D.
• Tileeyah Rogers
• Adriana Rojas
• Laura Rollins, LCSW
• Nancy Romeo, RD, CDN

• Social Worker in Pleasantville, NY
• Providers in Pleasantville, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.

Verify at the official NPI Registry.