Glodeliz Rodriguez, LPC, CSAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

0710102911 Issued in VA

Practice address

247 McLaws Cir
Williamsburg, VA 23185-5660

Phone

(757) 253-0111

Fax

(757) 253-2884

NPI assigned

Aug 27, 2018

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

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.

• Bacon Street Youth and Family Services

  • Community/Behavioral Health Agency
  • Williamsburg, VA
  • NPI 1144376112

  Addiction (Substance Use Disorder)

  NPD (past)

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

{
    "created_epoch": "1535328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566777600000",
    "number": "1194206151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4692 NOLAND BLVD",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231887587",
            "telephone_number": "252-341-8351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 MCLAWS CIR",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231855660",
            "telephone_number": "757-253-0111",
            "fax_number": "757-253-2884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "GLODELIZ",
        "credential": "LPC,  CSAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-27",
        "last_updated": "2019-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "0710102911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Elizabeth Robison, PHD
• Alice Rock
• Stanley B Rockwell, LPC
• Emireth Rodriguez Cancino
• Franchesca Rodriguez
• Carmel Rogers, PT, DPT
• Putul P Rogowski, MD
• David M Romano, MD
• Roots and Resilience Wellness
• Marilyn Rork, LCSW

• Addiction (Substance Use Disorder) Counselor in Williamsburg, VA
• Providers in Williamsburg, VA by specialty
• Addiction (Substance Use Disorder) Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2019; 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.