Organization Active NPI

Clinica Psicosocial Construyendo Caminos

  • Clinical Social Worker
  • Santa Isabel, PR
National Provider Identifier
1386204683
Registry record updated Jun 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CLINICA PSICOSOCIAL CONSTRUYENDO CAMINOS
Practice address
60 Calle Celis Aguilera Ste 5
Santa Isabel, PR 00757-2522
Phone
(939) 257-3471
NPI assigned
Jun 18, 2019
Last updated
Jun 18, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2019

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

Authorized official

Name
Ms. Marisel Rodriguez, MCSW, CATVI
Title
Director
Phone
(939) 257-3471

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X NU
Clinical Social Worker 1041C0700X NU Primary
Psychiatry Physician 2084P0800X NU
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU
Children's Substance Abuse Rehabilitation Facility 3245S0500X NU

Addresses

Primary practice location

60 Calle Celis Aguilera Ste 5
Santa Isabel, PR 00757-2522

Mailing address

60 Calle Celis Aguilera Ste 5
Santa Isabel, PR 00757-2522
Phone (939) 257-3471

National Provider Directory

National Provider Directory

Locations

60 Calle Celis Aguilera
Ste 5
Santa Isabel, PR 00757
Phone (939) 257-3471

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1560816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560816000000",
    "number": "1386204683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 CALLE CELIS AGUILERA STE 5",
            "city": "SANTA ISABEL",
            "state": "PR",
            "postal_code": "007572522",
            "telephone_number": "939-257-3471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 CALLE CELIS AGUILERA STE 5",
            "city": "SANTA ISABEL",
            "state": "PR",
            "postal_code": "007572522",
            "telephone_number": "939-257-3471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA PSICOSOCIAL CONSTRUYENDO CAMINOS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-18",
        "last_updated": "2019-06-18",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "MARISEL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "939-257-3471",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MCSW, CATVI"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Isabel, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2019; 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.