Individual provider Active NPI

Jennifer Rodriguez

  • Clinical Social Worker
  • Deltona, FL
National Provider Identifier
1316538432
Registry record updated Feb 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
517 Deltona Blvd Ste a
Deltona, FL 32725-8016
Phone
(386) 259-5413
NPI assigned
Feb 1, 2021
Last updated
Feb 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2021

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 Primary

Addresses

Primary practice location

517 Deltona Blvd Ste a
Deltona, FL 32725-8016

Mailing address

517 Deltona Blvd Ste a
Deltona, FL 32725-8016
Phone (386) 259-5413

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260316002633 FL Practitioner - Clinical Social Worker 8325521594 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6917 Narcoossee Rd
Suite 700
Orlando, FL 32822-7002

706 Artisan St
Orlando, FL 32824-7130

7200 Lake Ellenor Dr
Suite 102
Orlando, FL 32809-5786

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Florida United Methodist Childrens Home, Inc. CurrentSince Feb 7, 2021 Accepting new patients
Orange Behavioral Health LLC Clinical CurrentSince Feb 15, 2026 Accepting new patients
Circle of Friends Services Inc PastSince Feb 7, 2021 Accepting new patients

Locations

517 Deltona Blvd
Ste A
Deltona, FL 32725
Phone (386) 259-5413

7200 Lk Ellenor Dr
Ste 102
Orlando, FL 32809
Phone (407) 946-0743

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1612137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612137600000",
    "number": "1316538432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 DELTONA BLVD STE A",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327258016",
            "telephone_number": "386-259-5413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 DELTONA BLVD STE A",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327258016",
            "telephone_number": "386-259-5413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-01",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deltona, FL

Sources for this page

Verify at the official NPI Registry.