Active NPI
Suzanne Rodriguez
- Community/Behavioral Health Agency
- Yakima, WA
National Provider Identifier
1235403981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- LW 60137381
- Legal business name
- SUZANNE RODRIGUEZ
- Doing business as
- Suzanne Rodriguez
- Practice address
- 5200 N Canyon Rd
Yakima, WA 98901-1626 - Phone
- (509) 833-0744
- NPI assigned
- Feb 27, 2012
- Last updated
- Feb 27, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Suzanne Lynette Rodriguez, LICSW
- Title
- Licensed Clinical Social Worker
- Phone
- (509) 833-0744
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | LW 60137381 | WA | Primary |
Addresses
Primary practice location
5200 N Canyon Rd
Yakima, WA 98901-1626
Mailing address
5200 N Canyon Rd
Yakima, WA 98901-1626
Phone (509) 833-0744
Other names 1
- Suzanne Rodriguez
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330300800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1330300800000",
"number": "1235403981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5200 N CANYON RD",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989011626",
"telephone_number": "509-833-0744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5200 N CANYON RD",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989011626",
"telephone_number": "509-833-0744"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUZANNE RODRIGUEZ",
"organizational_subpart": "NO",
"enumeration_date": "2012-02-27",
"last_updated": "2012-02-27",
"status": "A",
"authorized_official_last_name": "RODRIGUEZ",
"authorized_official_first_name": "SUZANNE",
"authorized_official_middle_name": "LYNETTE",
"authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
"authorized_official_telephone_number": "509-833-0744",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LICSW"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "WA",
"license": "LW 60137381",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Suzanne Rodriguez",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Yakima, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.