Individual provider Active NPI

Zitlalli Z Roman Rodriguez, LCSW

  • Clinical Social Worker
  • Crystal Lake, IL
National Provider Identifier
1306636840
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.028927 Issued in IL
Practice address
760 McArdle Dr
Suite G
Crystal Lake, IL 60014-1717
Phone
(815) 526-0676
Fax
(815) 846-4310
NPI assigned
May 8, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2025

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 149.028927 IL Primary

Addresses

Primary practice location

760 McArdle Dr
Suite G
Crystal Lake, IL 60014-1717

Mailing address

760 McArdle Dr
Suite G
Crystal Lake, IL 60014-1717
Phone (815) 526-0676

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

State licenses

LicenseStateTypeSpecialty
149.028927ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Landmark Therapy Group CurrentSince May 11, 2025 Accepting new patients

Locations

760 McArdle Dr
Ste G
Crystal Lake, IL 60014
Phone (815) 526-0676

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": "1746662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1306636840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 MCARDLE DR",
            "address_2": "SUITE G",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600141717",
            "telephone_number": "815-526-0676",
            "fax_number": "815-846-4310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 MCARDLE DR",
            "address_2": "SUITE G",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600141717",
            "telephone_number": "815-526-0676",
            "fax_number": "815-846-4310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMAN RODRIGUEZ",
        "first_name": "ZITLALLI",
        "middle_name": "Z",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-08",
        "last_updated": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.028927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal Lake, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2025; 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.