Individual provider Active NPI

Jacqueline Wilma Rodriguez

  • Clinical Social Worker
  • Newark, NJ
National Provider Identifier
1225913627
Registry record updated Feb 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC06566300 Issued in NJ
Practice address
24 Peck Ave
Newark, NJ 07107-1720
Phone
(973) 986-0825
NPI assigned
Aug 6, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2026

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 44SC06566300 NJ Primary

Addresses

Primary practice location

24 Peck Ave
Newark, NJ 07107-1720

Mailing address

24 Peck Ave
Newark, NJ 07107-1720
Phone (973) 986-0825

Other practice location 1

366 Main St
West Orange, NJ 07052-5792
Phone (973) 986-0825

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20260123000791 NJ Practitioner - Clinical Social Worker 1759868482 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Suite 809
Teaneck, NJ 07666-0809

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC06566300NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
David Helfgott PSYD LLC CurrentSince Dec 22, 2025 Accepting new patients

Locations

773 Central Ave
Lowr
Westfield, NJ 07090
Phone (908) 228-2740

773 Central Ave
Lowr Leve
Westfield, NJ 07090
Phone (908) 228-2740

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": "1754438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770940800000",
    "number": "1225913627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 PECK AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071071720",
            "telephone_number": "973-986-0825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 PECK AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071071720",
            "telephone_number": "973-986-0825"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "366 Main St",
            "address_purpose": "LOCATION",
            "city": "West Orange",
            "state": "NJ",
            "postal_code": "070525792",
            "country_code": "US",
            "telephone_number": "973-986-0825",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "JACQUELINE",
        "middle_name": "WILMA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-06",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06566300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

Verify at the official NPI Registry.