Vanessa Rodriguez, PMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

X-11025 Issued in NM

Practice address

3301 Candelaria Rd NE Ste B
Albuquerque, NM 87107-1965

Phone

(505) 273-6300

Fax

(505) 265-7860

NPI assigned

Aug 29, 2017

Last updated

Jun 26, 2019By the provider in NPPES

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fundamental Therapy Services LLC

  • Community/Behavioral Health Agency
  • Albuquerque, NM
  • NPI 1548030679
  NPD Authorized official
• The Community Lighthouse

  • Social Worker
  • Albuquerque, NM
  • NPI 1427456458
  NPD (past)

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

{
    "created_epoch": "1503964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561507200000",
    "number": "1215454301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 CANDELARIA RD NE STE B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871071965",
            "telephone_number": "505-273-6300",
            "fax_number": "505-265-7860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 CANDELARIA RD NE STE B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871071965",
            "telephone_number": "505-273-6300",
            "fax_number": "505-265-7860"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 University Of New Mexico #95030",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871310001",
            "country_code": "US",
            "telephone_number": "505-272-2190",
            "fax_number": "505-272-3466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "VANESSA",
        "credential": "PMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-29",
        "last_updated": "2019-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "X-11025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steve Rodriguez, RPH
• Suzanne Rose Rodriguez, CPT
• Timothy A Rodriguez
• Valentina Rodriguez
• Valerie Rodriguez, NCC, LPCC
• Veronica Rodriguez, CCSS
• Veronica Garcia Rodriguez I, LISW,LCSW,NASW DIPLO
• William Joseph Rodriguez, M.A.
• Yuliana Itiel Rodriguez
• Yvonne Marie Rodriguez, MSW

• Clinical Social Worker in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Clinical Social Worker in New Mexico

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