Individual provider Active NPI

Rebecca Winter Rodriguez, LCSW

  • Clinical Social Worker
  • Melville, NY
National Provider Identifier
1134099211
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
073794 Issued in NY
Practice address
275 Broadhollow Rd Ste 120
Melville, NY 11747-4863
Phone
(631) 323-6872
Fax
(631) 918-5768
NPI assigned
Nov 5, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 073794 NY Primary

Addresses

Primary practice location

275 Broadhollow Rd Ste 120
Melville, NY 11747-4863

Mailing address

275 Broadhollow Rd Ste 120
Melville, NY 11747-4863
Phone (631) 323-6872

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20260109001216 NY Practitioner - Clinical Social Worker 4284110214 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carmel Psychological Health PCGroup PAC ID 4385530351, 222 clinicians

Practice addresses (Care Compare)

275 Broadhollow Rd
Suite 120
Melville, NY 11747-4863
Phone (845) 279-5908

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
073794NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Carmel Psychological Health, PC Clinical CurrentSince Jan 5, 2026 Accepting new patients

Locations

667 Stoneleigh Ave
Ste 202
Carmel, NY 10512
Phone (845) 278-5223

275 Broadhollow Rd
Ste 120
Melville, NY 11747
Phone (631) 323-6872

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1762300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1134099211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 BROADHOLLOW RD STE 120",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117474863",
            "telephone_number": "631-323-6872",
            "fax_number": "631-918-5768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 BROADHOLLOW RD STE 120",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117474863",
            "telephone_number": "631-323-6872",
            "fax_number": "631-918-5768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "REBECCA",
        "middle_name": "WINTER",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-05",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "073794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melville, NY

Sources for this page

Verify at the official NPI Registry.