Individual provider Active NPI

Michelle Rodriguez, LCSW

  • Clinical Social Worker
National Provider Identifier
1346694734
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW14226 Issued in FL
Practice address
Unit 5142 Box MDG
Apo, AP 96368-5142
Phone
(813) 575-2276
NPI assigned
Apr 21, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X ISW10576 FL
Clinical Social Worker 1041C0700X SW14226 FL Primary

Addresses

Primary practice location

Unit 5142 Box MDG
Apo, AP 96368-5142

Mailing address

PSC 80 Box 22849
Apo, AP 96367-0113
Phone (813) 575-2276

Other practice location 1

2824 Windguard Cir Ste 102
Wesley Chapel, FL 33544-7369
Phone (813) 693-0654

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
I20170410001121 FL Practitioner - Clinical Social Worker 6305122177 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ISW10576FLMDClinical Social Worker
SW14226FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Balanced Wellbeing LLC Clinical CurrentSince Jan 1, 2024 Accepting new patients
The Well Counseling Services of Tampa Bay Clinical CurrentSince Jul 5, 2020 Accepting new patients

Locations

19337 Shumard Oak Dr
Unit 101
Land O Lakes, FL 34638
Phone (347) 350-3311

19337 Shumard Oak Dr
Land O Lakes, FL 34638
Phone (347) 350-3311

3200 SW 34th Ave
Ste 701
Ocala, FL 34474
Phone (354) 445-1200

Networks

  • Freedom Health HMO Network

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.

NPI Registry JSON

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

{
    "created_epoch": "1461196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1346694734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "MIL",
            "address_1": "PSC 80 BOX 22849",
            "city": "APO",
            "state": "AP",
            "postal_code": "963670113",
            "telephone_number": "813-575-2276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "MIL",
            "address_1": "UNIT 5142 BOX MDG",
            "city": "APO",
            "state": "AP",
            "postal_code": "963685142",
            "telephone_number": "813-575-2276"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2824 Windguard Cir Ste 102",
            "address_purpose": "LOCATION",
            "city": "Wesley Chapel",
            "state": "FL",
            "postal_code": "335447369",
            "country_code": "US",
            "telephone_number": "813-693-0654",
            "fax_number": "813-441-7320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "MICHELLE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-21",
        "last_updated": "2025-02-05",
        "certification_date": "2025-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "ISW10576",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW14226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.