Marlen Rodriguez-Sandoval

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW006898 Issued in GA

Practice address

710 S Thornton Ave Ste F
Dalton, GA 30720-8421

Phone

(706) 618-1552

NPI assigned

Sep 21, 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

Medicare fee-for-service enrollment

Enrolled in GA

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1663718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1194448423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 S THORNTON AVE STE F",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307208421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 S THORNTON AVE STE F",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307208421",
            "telephone_number": "706-618-1552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ-SANDOVAL",
        "first_name": "MARLEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-21",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW006898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Phillip Robison, DMD
• Joseph Scott Robison, D.C.
• Lauren Elizabeth Rodgers, OTR/L
• Rogerio Rodrigues, DPT
• Azucena De Maria Rodriguez Becerra, MSW, LCSW
• Rodovaldo Rodriguez Jr., M.D.
• Jason Rodwell, PA-C
• Regina T Rogers, APRN
• Sheree Williams Rogers, COTA/L
• Stephen G Rohn, M.D.

• Clinical Social Worker in Dalton, GA
• Providers in Dalton, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.