Individual provider Active NPI

Claudia Marcela Rodriguez, LCSW

  • Clinical Social Worker
  • New Providence, NJ
National Provider Identifier
1144811811
Registry record updated Aug 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05965700 Issued in NJ
Practice address
890 Mountain Ave
New Providence, NJ 07974-1218
Phone
(908) 277-8900
Fax
(908) 508-8919
NPI assigned
Jan 26, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2021

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 44SC05965700 NJ Primary

Addresses

Primary practice location

890 Mountain Ave
New Providence, NJ 07974-1218

Mailing address

35 Millbrook Ave
Dover, NJ 07801-5346
Phone (862) 305-0420

Other practice location 1

162 E Ridgewood Ave
Ridgewood, NJ 07450-3859
Phone (862) 305-0420

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://hero-counseling.clientsecure.me Health Information Exchange (HIE) Hero Counseling Center

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC05965700NJMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1611619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1144811811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 MILLBROOK AVE",
            "city": "DOVER",
            "state": "NJ",
            "postal_code": "078015346",
            "telephone_number": "862-305-0420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 MOUNTAIN AVE",
            "city": "NEW PROVIDENCE",
            "state": "NJ",
            "postal_code": "079741218",
            "telephone_number": "908-277-8900",
            "fax_number": "908-508-8919"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "162 E Ridgewood Ave",
            "address_purpose": "LOCATION",
            "city": "Ridgewood",
            "state": "NJ",
            "postal_code": "074503859",
            "country_code": "US",
            "telephone_number": "862-305-0420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "CLAUDIA",
        "middle_name": "MARCELA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-26",
        "last_updated": "2021-08-17",
        "certification_date": "2021-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05965700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://hero-counseling.clientsecure.me",
            "affiliation": "Y",
            "endpointDescription": "client portal",
            "affiliationName": "Hero Counseling Center",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "162 E Ridgewood Ave",
            "city": "Ridgewood",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "074503859",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New Providence, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; 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.