Active NPI
Juan Rodriguez
- Social Worker
- Newberg, OR
National Provider Identifier
1285093245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 504 Villa Rd Ste 3
Newberg, OR 97132-1851 - Phone
- (503) 538-4874
- NPI assigned
- Feb 18, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
504 Villa Rd Ste 3
Newberg, OR 97132-1851
Mailing address
4585 SW 185TH Ave
Aloha, OR 97078-1557
Phone (503) 591-9280
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chehalem Youth & Family Services | Past | Accepting new patients | |
| Chehalem Youth & Family Services | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinical Neuropsychologist
- Newberg, OR
- NPI 1356499420
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Newberg, OR
- NPI 1750512661
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473379200000",
"number": "1285093245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4585 SW 185TH AVE",
"city": "ALOHA",
"state": "OR",
"postal_code": "970781557",
"telephone_number": "503-591-9280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "504 VILLA RD STE 3",
"city": "NEWBERG",
"state": "OR",
"postal_code": "971321851",
"telephone_number": "503-538-4874"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "JUAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-02-18",
"last_updated": "2016-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newberg, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.