Carmen M Rodriguez, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

14596 Issued in SC

Practice address

814 Emma Meredith Cir
Summerville, SC 29486-8056

Phone

(843) 323-7203

NPI assigned

Sep 4, 2021

Last updated

Sep 4, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1630713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630713600000",
    "number": "1245908086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 EMMA MEREDITH CIR",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294868056",
            "telephone_number": "843-323-7203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 EMMA MEREDITH CIR",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294868056",
            "telephone_number": "843-323-7203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "CARMEN",
        "middle_name": "M",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-04",
        "last_updated": "2021-09-04",
        "certification_date": "2021-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "14596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ELECTRONIC ADDRESS",
            "identifier": "CARMENROD54",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Confidentially",
            "affiliation": "N",
            "endpointDescription": "Exchange of Information",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "Exchange Information",
            "address_1": "814 Emma Meredith Cir",
            "city": "Summerville",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294868056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rock Creek Ortho Gear
• Brian Rock, PHARMD
• Rocky's Crown & Glory LLC
• Benjamin L Rodgers, MD
• Kelly S Rodgers, MD
• Jeffrey Joseph Roediger, LPC
• Margaret Roediger, LPC
• Tawnya Roenke
• Carlie Roessle, CCC-SLP
• Cheri R Rohlman, MA, LMFT

• Clinical Social Worker in Summerville, SC
• Providers in Summerville, SC by specialty
• Clinical Social Worker in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2021; 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.