Individual provider Active NPI

Jose Roberto Rodriguez, LMSW

  • Clinical Social Worker
  • Salinas, CA
National Provider Identifier
1366712507
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
87678 Issued in CA
Practice address
501 E Romie LN Ste a
Salinas, CA 93901-4027
Phone
(831) 269-7798
Fax
(831) 269-7799
NPI assigned
Jan 5, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

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 085755 NY
Clinical Social Worker 1041C0700X 87678 CA Primary

Addresses

Primary practice location

501 E Romie LN Ste a
Salinas, CA 93901-4027

Mailing address

100 Wilson Rd Ste 100
Monterey, CA 93940-7885

Other practice location 1

4401 Bronx Blvd
Bronx, NY 10470-1407
Phone (718) 304-7029

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20191231001762 CA Practitioner - Clinical Social Worker 5294169181 Reassigns benefits to 2 organizations
I20240613000525 NY Practitioner - Clinical Social Worker 5294169181 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Svmhs Clinics CurrentSince Dec 25, 2019 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince May 17, 2024 Accepting new patients
Grow Healthcare Group PC Clinical CurrentSince May 17, 2024 Accepting new patients
Svmhs Clinics CurrentSince Dec 25, 2019 Accepting new patients
Lancelot O Alexander MD a Medical Corporation Past Accepting new patients

Locations

100 Wilson Rd
Ste 100
Monterey, CA 93940
Phone (831) 242-8301

1033 Los Palos Dr
Salinas, CA 93901
Phone (831) 424-2866

501 E Romie Ln
Ste A
Salinas, CA 93901
Phone (831) 676-0210

559 Abbott St
#A
Salinas, CA 93901
Phone (831) 422-4500

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

165 Broadway
Fl 23
New York, NY 10006
Phone (202) 972-4964

Organizations & group practices 5

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": "1325721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1366712507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WILSON RD STE 100",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939407885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 E ROMIE LN STE A",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939014027",
            "telephone_number": "831-269-7798",
            "fax_number": "831-269-7799"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4401 Bronx Blvd",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104701407",
            "country_code": "US",
            "telephone_number": "718-304-7029",
            "fax_number": "718-304-7066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "JOSE",
        "middle_name": "ROBERTO",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-05",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "085755",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "87678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salinas, CA

Sources for this page

Verify at the official NPI Registry.