Kelley D Martin-Rodriguez, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I-06889 Issued in NM

Practice address

914 N Canal St
Carlsbad, NM 88220-5110

Phone

(575) 885-4836

Fax

(575) 887-9579

NPI assigned

Nov 6, 2006

Last updated

May 26, 2009By 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 2

Addresses

Other identifiers 1

Other names 1

• Ms. Kelley D Rodriguez Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243296000000",
    "number": "1275612442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "914 N CANAL ST",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882205110",
            "telephone_number": "575-885-4836",
            "fax_number": "575-887-9579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 N CANAL ST",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882205110",
            "telephone_number": "575-885-4836",
            "fax_number": "575-887-9579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN-RODRIGUEZ",
        "first_name": "KELLEY",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2009-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "X-05589",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "I-06889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "48857823",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLEY",
            "last_name": "RODRIGUEZ",
            "middle_name": "D",
            "prefix": "MS.",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Donald Walter Malone, M.D.
• Khadija Ahmad Mamsa, MD
• Aurelia Marquez
• Tamara N Marrujo, PTA
• Marshall G Baca MD PC
• Susan Lynn Martin, LMSW
• Amanda Martinez Flores
• Aylin Aydith Martinez Vazquez
• Audriana B Martinez
• Cassandra Martinez

• Clinical Social Worker in Carlsbad, NM
• Providers in Carlsbad, 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 May 26, 2009; 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.