Raul Rodriguez, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CSW003234 Issued in GA

Practice address

1586 Atkinson Rd
Suite 103
Lawrenceville, GA 30043-5972

Phone

(404) 299-9539

NPI assigned

Apr 29, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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

Specialty

Clinical Social Worker

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Focus Forward Counseling and Consulting, IncGroup PAC ID 9436325727, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Focus Forward Counseling and Consulting, Inc

  • Professional Counselor
  • Cumming, GA
  • NPI 1912138710
  Medicare reassignment Care Compare group
• J G Options, LLC

  • Social Worker
  • Tucker, GA
  • NPI 1457362279
  NPD (past)

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

{
    "created_epoch": "1272499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451433600000",
    "number": "1386961340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2231 FAULKNER NERD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303244224",
            "telephone_number": "404-229-9539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1586 ATKINSON RD",
            "address_2": "SUITE 103",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300435972",
            "telephone_number": "404-299-9539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "RAUL",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-29",
        "last_updated": "2015-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "CSW003234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alejandra Rodriguez
• Aniello Rodriguez, DC
• Deborah Rodriguez, MD
• Dynia Ines Rodriguez, DPT
• Jennifer Terina Rodriguez, LMFT
• Rosendo Rodriguez
• Veronica Rodriguez, MD
• Yasser Rodriguez, MD,MBA
• Marie C Rogers-Ward, MA CCC-SLP
• Brandy Leilani Rogers, LPC

• Mental Health Counselor in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.